​General Forms

Initial Session Forms

New Patient Forms:
If you are a new patient, or are returning to treatment, the following forms are given at the first appointment. Feel free to print them out and bring to your first appointment.

If you plan to use medical insurance, call your insurance company and request to be pre-certified or pre-authorized for your first session of outpatient mental health therapy. This is mostly true of EAP (Employee Assistance Programs) benefits that offer free counseling to its employees. Often times insurance companies will deny payment if this step is not completed. This must be done prior to the first visit as insurance companies often do not back date pre-authorizations. They will also be able to tell you the mental health benefits and ensure we are providers in your network.

328 Thomas More Parkway Unit 102 Crestview Hills, KY 41017 (859) 431-6333 Office (859) 341-0310   

Holly Maddy , LLC