~ At the current time I am unfortunately not open to new clients. I have a waiting list or I can refer you to other providers with sooner availability. I hope to be able to add new clients soon. If you would like to be on my waiting list or get a referral, email me at email@example.com.
In the future: Scheduling is done using the blue button to the left. First sessions last between 50-70 minutes. Before the time of your first appointment, please review and complete one of the following history forms. The business agreement form will be in your welcome email. Bring both the history form, the business agreement and payment to our first meeting. These steps allows us to use your time to get right to work rather than spending your visit here on paperwork.
If you have an insurance policy I contract with (Humana, Medical Mutual of Ohio and most Tricare) be sure to have Kate Wolf (513-233-0020, ext 2) verify your benefits prior to session or the cost of our first session may fall to you.
Out of network clients use this form/link - Out of Network Information Gathering Form. to determine the coverage directly with your policy.
The week before your initial meeting, Cymbria will email the introductory business agreement needed to work together. You will also need one of the below forms (depending on the age of client) for that first meeting.
- Adult Personal History (Acrobat). This is for all adult clients to complete. In the case of couples therapy, both adults should individually complete forms. This form assists with assessment and allows our first session to be more focused.
- Child and Adolescent Developmental History Form (Acrobat). To be completed by parents/guardians for new clients that are under 18 years of age.
Optional - If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
- Consent to Release Information Form (Acrobat). Only if you know you'll want me to coordinate your care with an agency or person.
Note: To download Adobe Acrobat Reader for free, click here.