Most Major Insurances Accepted
*REQUEST MY APPOINTMENT & VERIFY MY INSURANCE FORM
For all *Prospective Clients and Returning Clients, required form assists us in understanding your treatment needs, ensuring an optimal client-clinician match. It also captures your scheduling preferences and health insurance information. Upon receipt of this form, we will promptly provide you with a Benefits Quote and schedule your Intake Appointment accordingly.
WHAT HAPPENS NEXT?
You'll receive a Welcome Message with:
- Your Intake Appointment Details
- Benefits Quote or "Good Faith" Estimate
- Intake Forms
- Link to Clinician's Virtual Waiting Room
To confirm the Intake Appointment, simply reply with "C".
Melissa E. Mendoza, LMSW
🔗LinkTree Link: https://linktr.ee/pinkpsy
*If not a match we will provide referrals (sometimes we have to refer prospect clients out if schedules can not coordinate, not a good match, if you are to closely related to a current client and there is a conflict of interest, present to need a higher level of care, due to mental health carveout, from medical insurance, to a third party insurance wherein we are NOT in network with the mental health carveout, ect.).
**No obligation or cancellation fees if you decide not to proceed with the session based on the provided benefits quote.
***All Forms are Mobile Friendly / Electronic Forms that are HIPPA compliant and ENCRYPTED which means your information is safe and secure.