I have 4 requests before you come to your first appointment:
- Please reach out to me at sheribland.sbs@gmail.com or 815-355-1116 so we can see if what you need and what I offer are a fit, if I am in network with your insurance and if my schedule can accommodate your schedule. If we agree to work together, we can schedule a first session, which I will reserve for 24 hours until you register.
- After we agree that it is a good fit to work together, I will email you a link to my Therapy Appointment website. Please register yourself as a new client online (including demographics, credit card, insurance policy info and self biography form).
- I will also email you a link from PDFfiller.com, where you will complete the administrative intake policy forms online with check marks and your electronic signatures.
- Contact your insurance to ask about your mental health coverage.(questions to ask are below). Please let me know if you have any questions in case any of this is confusing. Then once all this is done, we will be all set to go!
THERAPY APPOINTMENT ON-LINE REGISTRATION
Therapy appointment is my online system for registration, appointments, records, secure messaging and billing/statements. Please register by following these steps:
- Please log into my Therapy Appointment system via the email link I send you. The link is good for 24 hours.
- Use your DOB to get in. Use my name, Sheri Bland, and I am in the 2.0 system.
- You will need to enter demographics, your insurance information and a credit card on file. Please then complete the background “Self-Biography” form, which is an online clinical questionnaire, including why you want counseling at this time and what you hope to achieve in counseling. It takes about 20 minutes.
PDFFiller.com-for electronic policy forms:
- For Administrative Intake policy forms/signatures: I will send you a link from PDFfiller.com to electronically complete and sign the policy forms. If for some reason you are unable to complete them electronically, you can print them out below and bring them in, or you can fill them out on paper in my office at the first session. (Please arrive 15 minutes early to complete). Policy forms are different than the Therapy Appointment portal, which also has the Self Biography background questionnaire. Policies include consent to treatment, consent to bill insurance, privacy policy signature, doctor info, copay/insurance benefit information and referral source.
OTHER FORMS: Only as needed
The consent is not needed for intake; it is available for you if you would like Sheri to have contact with family members or other helping professionals.
A copy of the Payment form is below if your payment/credit card/debit card info changes. Do not send this info via email.
The other forms are available as needed or requested.
INSURANCE BENEFITS:
If you are using your insurance, please call and inquire about:
-if you have a deductible to meet before the plan pays, and if so, how much
-what is the co-insurance
-what is your co pay
-is Sheri Bland in network?
**Regarding communications: The Therapy Appointment system has a secure messaging portal that I would recommend you use to send me messages for a HIPAA compliant communication. I can use phone texting or emailing for registration and scheduling communications. Texting and email is not intended for therapeutic discussion. Be advised that the use of texting and emails is not secure; therefore if you decide to send messages, the Therapy Appointment portal is the most secure method.
##Please note that there is a 48 hour cancellation policy, or a $125 late cancel or no show fee will be charged. Unavoidable circumstances or emergencies will be taken into consideration.