Client Forms

If you are a new client that has health insurance, you will need to call your insurance company to verify your coverage prior to your first session.  The HPS Insurance Benefits Pre-Determination Form (below) lists the questions that you should ask your insurance company about your coverage.  Please fill it out when you speak with them and bring it to your first session.  It will help you get all of the information you need about your behavioral health benefits.

New clients are also encouraged to print and complete the Optum Wellness Assessment (Adult or Youth, depending upon age) and bring it to the first session as well.  
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