New Client Paperwork

Fees and Policy Statement (For review only)
HIPPA Privacy Policy  (For review only)
As a Counseling Center, we are  required to obtain information for insurance purposes including the Informed Consent Form and for those who require special arrangements for children, the Custody Addendum Form.

Our preference is to serve our clients with the best possible care.  As we learn about your story, we require certain pieces of information to guide us along the way.  Our History Form provides key indicators of family and incidental factors crucial to understanding the client as a whole individual.

In compliance with the Health Insurance Portability and Accountability (HIPPA), a US law designed to provide policy standards to protect client information, we direct all clients to our Privacy Policy.  If you would like a printed copy for your records, we are happy to offer this to you at your first counseling session or any subsequent session.  

Our staff treats all clients equally regardless of type of insurance, race, ethnicity, gender, religious preferences, or sexual orientation.  In best practice, we also offer a Coordination of Treatment opportunity - requiring additional information from our clients and is necessary for compliance for all Medicaid clients.  

The Wabash Friends Counseling Center offers a Sliding Scale payment options for services not covered by insurance with the exception of Drug & Alcohol Assessments, counselor requested court appearances, and report writing.  To qualify for the Sliding Scale payment option, please submit your three most recent paycheck stubs or advises to the Wabash Main Office.