New Client Form | Chugach Counseling & Consulting LLC

Here’s What to Expect Next

1. Fill out the form below to get started.

2. We’ll contact you to schedule your free 30-minute meet & greet.

3. During the consult, you’ll talk with a clinician about your needs and goals.

4. You decide if you want to begin ongoing therapy.

5. We’ll send new client paperwork and verify your insurance benefits, so you know what to expect cost-wise before starting.

Insurance

We are unable to bill Medicaid/Medicare

In-network with Blue Cross, United/UMR, Tricare West, TriWest, Multiplan

Call your insurance provider directly to ask about your specific co-pay amount.

The CPT codes used for billing: 90791 For Intake; 90837 For Individual therapy; 90847 For Family Therapy