Many insurance plans offer coverage for mental health services. You should contact your insurance company before requesting an appointment with us and ask the following questions:
Do I have any coverage for mental health services?
What is my annual deductible?
What is my copayment for each visit?
How many visits does my plan allow?
Do I need to have a referral before I can be seen?
How do I get that referral?
Which Samaritan Counseling Center therapists are on my insurance plan?
If you have contacted your insurance company and are interested in setting up an appointment to seek counseling at the Samaritan Counseling Center, please fill in this form.
If you are seeking couple's or family counseling, please include all names and birth dates. If you are a parent filling in the form for a minor, please include your name as the submittor along with your relationship to the child.
After receiving your submitted form, we will try to contact you within 1 business day to set up an appointment.