New Client Registration/Forms

I have 4 requests before you come to your first appointment:

  1. BEFORE REGISTERING, PLEASE contact me at: sheribland.sbs@gmail.com or  815-355-1116 so we can see if what you need and what I offer are a fit, if I am in network with your insurance and if my schedule can accomodate your schedule. If we agree to work together, we can schedule a first session, which I will reserve for 24 hours until you register.
  2. After we agree that it is a good fit to work together, please register yourself as a new client online (including demographics, policy info and clinical biography form). Link below.
  3. Complete the administrative Intake  policy paperwork that will be emailed to complete electronically  after registration for you ,  and
  4. Contact your insurance to ask about your mental health coverage.(questions to ask are below). Please let me know if you have any questions in case any of this is confusing. Then once all this is done, we will be all set to go!

THERAPY APPOINTMENT ON-LINE  REGISTRATION

Therapy appointment is my online system for registration, appointments, records, secure messaging and billing/statements.  AFTER speaking to me first, register by  following these steps:

  • Please log into my Therapy Appointment system, 
  • https://portal.therapyappointment.com/index.cfm/public:therapistdetail?directoryId=11ec99cbf567f6f3bdc00eb9c2fff873
  •  Then type in my name, Sheri Bland. I am the 2.0 system.  You will need to enter demographics, your insurance information and a credit card on file. Please then complete the background “Biography” form, which is an online clinical questionnaire, including why you want counseling at this time and what you hope to achieve in counseling. It takes  about 20 minutes. You can complete it after registration but before your first appointment.  
  • For minors: If your child will be the client, please register your child as the client. and have them sign a consent that I have permission to speak with you about scheduling, billing, treatment recommendations. Content of sessions is confidential between teen and counselor.
  • For Administrative  Intake policy forms/signatures: Once you register at Therapy Appointment and I get your email, I will send you a link from PDFfiller.com to electronically complete and sign the policy forms. If for some reason you are unable to complete them electronically,  you can print them out below and bring them in, or you can fill them out on paper in my office at the first session. (Please arrive 15 minutes early to complete). Policy forms are different than the clinical biography. Policies include consent to treatment, consent to bill insurance, privacy policy signature, doctor info,  and referral source.

OTHER FORMS: Only as needed

The consent is not needed for intake; it is available for you if you would like Sheri to have contact with family members or other helping professionals. Teens must sign a consent form for parents to enable me to communicate with parents about attendance, compliance and scheduling.

A copy of the Payment form is below if your payment/credit card/debit card info changes. Do not send this info via email.

The other forms are available as needed or requested.

INSURANCE BENEFITS:

If you are using your insurance, please call and inquire about:

-if you have a deductible to meet before the plan pays, and if so, how much

-what is the co-insurance

-what is your co pay

-is Sheri Bland in network?

**Regarding communications: The Therapy Appointment system  has a secure messaging portal that I would recommend you use to send me messages. I can use phone texting or emailing for registration and scheduling communications.  Texting and email is not intended  for therapeutic discussion. Be advised that the use of texting and emails is not secure; therefore if you decide to send messages, the Therapy Appointment portal is the most secure method.

##Please note that there is a 48 hour cancellation policy, or a $125 late cancel or no show fee will be charged. Unavoidable circumstances or emergencies will be taken into consideration.

Policies and Procedures

Credit Card Authorization Form

Privacy Policy

Consent Form

Scroll to top