Office Info
Posted on 03/23/2009 02:27 am by david
Payment, Insurance, Office Forms, & Gift Sessions
•Cash or check accepted for payment:
Session fee are:
$135 for initial intake session
$100 thereafter
CREDIT CARDS:
Payment needs to be made by the time of the session please.
Please Note: Credit card fee will be added- 3% plus .25 cent fee per transaction (depending on which card is used)- as charged by the charge card Merchant provider.
Economic Hardship
Boulder Neurofeedback recognizes that we all need help at times, regardless of how much we make. As such, we offer a limited number of sliding scale slots at a discounted rate to serve those in the community who cannot afford our standard fee, and need support. To see if you qualify and if space is available, please contact us today!
INSURANCE:
**My office will submit for Workman’s Compensation, OUT OF NETWORK INSURANCE and MED-PAY AUTO INSURANCE, for auto accidents. *We are also a Denver Options Traumatic Brain Injury Service Provider(State of Colorado TBI Fund), the Colorado State of Colorado Department of Human Services Division of Vocational Rehabilitation (DVR), and will bill them directly for your approved services with authorization.
GIFT CERTIFICATES:
Gift certificates are available in any amount. Please contact me and I will arrange a certificate in the name of the person receiving the gift.
We are otherwise happy to provide you with a receipt so that you can seek all other insurance reimbursement; we will provide you with a diagnosis and treatment code.
OFFICE FORMS in PDF format below
that you may print:
Click here for the Office Client Concern Neurofeedback Form
Click here for the Neurofeedback Consent Form
Click here to receive a PDF copy of the Psychotherapy Disclosure/Intake form
