Please be aware this form is fortified with encryption to ensure both security and full compliance with HIPAA regulations. At River Oaks Psychology, we are committed to treating your personal information with the highest level of respect and security. Our dedicated team employs state-of-the-art encryption protocols to ensure the confidentiality of your information.
When using health insurance, we will call your insurance to verify that your coverage is active and we'll try to get an estimate of what your insurance will pay for. However, it is ultimately your responsibility to know the details of your coverage. We will bill your insurance for your services here, but if your insurance fails to pay for your services, you are financially responsible. Therefore, we URGE you to fully understand your coverage. Please call the number listed on your insurance card(s) to ask your insurance questions about whether telehealth therapy visits are covered and to ask about your deductible, copays, and other details.
After you submit this form, we'll contact you with an estimate of coverage according to a representative from your health insurance.
Thank you! 😊🧠✨
