Information for New Clients
Thank you for contacting BRAINS. Please take a moment to complete our intake forms to help speed up the check in process. If you do not wish to complete these forms on-line, please arrive at least a 30 minutes early for your scheduled appointment. Due to industry requirements, you will be unable to visit with a clinician until these forms are completed.
The forms below are securely encrypted, and the information contained will be stored on a highly protected server once you have submitted the form. The server is securely protected, permitting only the BRAINS staff (exclusively) to retrieve the information. This electronic format meets record security regulations similar to filling out the paper format.
Please complete the following intake forms after contacting our office. Please do not complete these forms before contacting the office.
- Initial Intake Information (all clients)
and either
- Child and Adolescent Questionnaire (17 years of age or under)
or
- Adult Questionnaire (18+ years of age)
These forms can be submitted electronically (be sure that you get a successful confirmation), printed and mailed, or completed and brought with you to your first appointment.
Important information for your initial appointment
Please arrive at least 10 minutes before your scheduled appointment to allow enough time for us to copy your insurance card and have you sign consent forms. If you have not completed the intake forms mentioned above, please arrive 30 minutes prior to your scheduled session.
Evaluation/Testing Clients
If this initial appointment is for your child please do not bring the child along. This appointment is for parents/guardians only! If you have any records pertaining to the patient please bring those along with you.
Therapy and Neurofeedback Clients
Please bring the patient to the initial appointment. You may also want to bring any records (previous evaluations, IEPs, medical records, etc.) that you think would be beneficial for your therapist to review.
Insurance
If you have any questions regarding your insurance benefits and/or coverage please contact your insurance company directly. If you have any questions regarding the intake forms, directions or insurance please feel free to contact our office at (616) 365-8920.
Expectations for Clients/Parents
Clients are expected to submit payment for all services provided. Co-payments will be collected at the time of service. Clients are also expected to participate in creating treatment goals and monitoring treatment progress. Your clinician will speak with you more and answer any questions during your initial visit.
