Forms

To save time, please fill out the following forms before your first visit.

Adult Intake Form

Confidentiality Agreement

Professional Disclosure

Child Symptoms for Intake

Consent to Treatment

Consent to Use & Disclose Health Information

Child Intake Form

Fees & Payment

Kasandra Wheeler PLLC accepts several insurance plans including: BCBS, Aetna, MedCost, CBHA, and Out-of-Network.

Please contact Practice Manager/ Owner: Kasandra to go over individual insurance plans and billing questions.

Self-pay rates are $120 for your initial session and $100 for follow-up sessions.

Payments Accepted: Cash, All Credit Cards, FSA/HSA Cards

 

Resources

Reading Materials
Websites
Blogs
Worksheets & Downloads
  • 3 Surefire Strategies for Coping with Anxiety

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