Narrative Therapy Group Registration

Narrative Therapy Group Registration

Please use this form to provide basic details so that we can get you set up in our system.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Suggested co-pay for this group is $15.

Keystone Wellness is a Montana Non-Profit and is committed to providing affordable care for all members of our community. Due to the complexities of billing for groups we will not directly bill insurance for this group, however, participants have three options for how this fee may be covered.

Option 1: When completing registration paperwork all participants will be provided the opportunity to enroll in our sliding fee scale. This scale reduces the cost of the session for most participants. Information about our sliding fee scale can be found on our website here - https://keystonewellnessmt.com/keystone-wellness-sliding-fee-scale.

Option 2: Individuals who are recieving therapy from Keystone Wellness may be eligible to have this group covered by the Bridge Fund. If Keystone clients are interested in attending this group and are concerned about cost they should talk to their Treatement Team.

Option 3: Clients may work directly with their insurance company to determine whether a group such as this would be covered and in the event that their insurance will cover the group we will gladly print billing statements for submission to insurance for reimbursement.

Any fees not covered by the sliding fee scale or the Bridge Fund can be paid by cash, check, or card either at group or via an invoice.
I understand the cost structure for this group.

Yes, and I plan to fill out the sliding fee scale paperwork and self pay the difference.Yes, and I plan to talk to my therapist about using the Bridge Fund.Yes, and I plan to request paperwork to bill my insurance.No, please reach out to me to discuss this.Other
Keystone Wellness is a Montana Non-Profit focused on promoting wellness and restoring balance one person, one relationship, one group and one community at a time. Keystone wellness is in the process of applying for 501(c)3 status with the IRS.
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