Please read the following information about confidentiality, disclosure, informed content, and the cancellation policy and fees and consent to release information. Upon reading and comprehending the statement, please sign the form consenting to counseling services with Heavenly Therapeutic Services, LLC.
Please print and complete all applicable forms in their entirety and bring completed form to your first counseling session. All information requested will be kept confidential.
- Informed Consent Form
- HIPAA Notice of Privacy Practice
- Client Information Form
- Services and Fees
- Service Agreement
- Card Payment Consent
Most of the time, people battling mental health issues do not know where to turn. That’s why we have created a growing list of resources to help those in need.
Heavenly Therapeutic Services currently accepts the following insurance(s). Please check back often for updates to insurance list.