Considering Therapy?

A Free 20 minute phone consultation can start the journey.
203.600.8900

Questions?

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Tips

Not sure if your insurance will cover the cost? Complete the form below to determine coverage.

Pre Intake Form

CLIENT FORMS- INSURANCE

Step One:
If you plan to submit session to your insurance company, before you come in for the intake, we suggest you complete the following form in order to check your benefits and eligibility.
Pre-Intake Insurance Form
After you complete this brief form, you will receive a call from the CHS staff to talk through your insurance coverage and set up an intake appointment.

Step Two:
Once you have an intake scheduled, if you prefer, you may complete the following form online before you come in.
Intake Form-SUBMIT ONLINE


CLIENT FORMS- OUT OF POCKET

Step One:
If you already know we are out of network with your insurance, or would not like to use insurance, the first step is to complete our out of pocket form, below. Once it has been received, someone from the CHS staff will call to talk through the sliding scale and set up an intake appointment.

Out of Pocket-SUBMIT ONLINE

Step Two:
Once you have an intake scheduled, if you prefer, you may complete the following form online before you come in.
Intake Form-SUBMIT ONLINE


Any questions can be answered at 203.600.8900, by emailing us, or during the intake session.

Therapy Survey

Therapy Survey. An optional survey to assess your therapy experience.