PSYCHOTHERAPY and counseling for individuals  and Couples – Corvallis OR

Seth Bernstein, Ph.D.

 

Forms To be reviewed prioR to the first session


    Office Policy: Clients with In-Network* Insurance Coverage:

       *Blue Cross, MODA, Pacific Source, IHN, Samaritan Choice

 

   Office Policy: Clients with Out-Of-Network Insurance Coverage


FOR CLIENTS WHO WISH TO USE THEIR INSURANCE TO HELP PAY FOR SERVICES, PLEASE COMPLETE THE INSURANCE PAYMENT SECTION OF THE APPROPRIATE OFFICE POLICY FORM ABOVE PRIOR TO OUR FIRST APPOINTMENT.


    Office Policies: Self-pay Clients


    Privacy Policy


​   Treatment Goal Setting Tool


FORMS TO BE COMPLETED AND BROUGHT TO THE FIRST SESSION


    Client Information Form 


    BRING YOUR INSURANCE CARD TO YOUR FIRST APPOINTMENT.

Forms THAT ARE LIKELY TO BE USED DURING THE COURSE OF TREATMENT


      Client History Form     


      Oregon Change Index (OCI) Treatment Progress Monitoring Form


​       Consent To Release Information Form

PSYCHOTHERAPY and counseling for individuals  and Couples – Corvallis OR

Seth Bernstein, Ph.D.