We've provided our information forms online so you can fill them out before you arrive at our office.
You can download them here:
- TRA Intake Form
- TRA Assignment of Benefits
- TRA Consent to Treat
- TRA Notice of Privacy Practices
- Medical Info Form
If you don't want to fill out the paperwork ahead of time, plan to arrive at our office at least 15 minutes before the appointment to complete the forms in person.
Be sure to bring along:
- Your insurance information
- A list of any medications you may be taking
- Contact information for any other healthcare providers you want us to coordinate your care with.
You will only need this information for the first appointment, unless the information changes.
If you have insurance, we will bill the insurance provider, if we are able to verify coverage at the time of your first visit. If not, we will expect full payment from you. You are responsible for any portion not covered by your insurance. However, if your coverage is a contracted HMO or PPO, you are only responsible for the deductible and/or co-payment. Other contracted services will be billed according to the contract provisions.
Therapists at Therapy Resource Associates are on numerous preferred provider, EAP, and HMO panels.
Therapy is a commitment of your time, energy, and money. We request you make an appointment in advance and notify us 24 hours in advance if you need to cancel or reschedule. Emergencies do arise, but we reserve the right to charge you for failure to cancel within 24 hours of the appointment and/or failure to arrive for the scheduled appointment.
Therapy Resource Associates | 10824 Old Mill Road | Suite 21
Phone: (402) 330-6060