Forms

These forms can be filled out, signed, and submitted online. Please contact our front office if you have any trouble accessing and submitting the forms.

Fresh Start for the Mind accepts certain insurance plans.  Private-pay rates are as follows: 

  • Psychological Testing: $200 for intake; $90 per testing codes (96136/7/8/9) and $180 per testing codes:

(96130/1) – amount of codes required is determined after intake; and $90 for feedback session

  • Counseling: $150 with doctor-level clinician; $125 with LPC; and $90 with APC
  • Coaching & Dietitian: $150 for intake; $90 for follow-up appointments

Any additional service, such as phone consultations, excessive paperwork or letters, prescription refills, court appearances/preparation, and retrieving files older than six (6) months will incur additional fees to be discussed prior to the service provided.  Sliding scales are negotiated between clinician and client, and will be occasionally revisited as personal needs and/or professional statuses change.

You are responsible for understanding your insurance and contacting your insurance carrier when requested. The collection of benefits or any other arrangement regarding third party payment is the responsibility of the client or legal guardian. You are responsible for notifying Fresh Start for the Mind of any change in your insurance prior to your next scheduled appointment. Otherwise, you will be required to pay in full for your visit immediately upon discovery.

Cancellation Policy

Cancellations or rescheduling requests must be made at least 24 hours in advance of your scheduled appointment. In the event you have not notified us at least 24 hours in advance, you will be required to pay half the session rate, up to $125. Your next appointment will not be scheduled until the missed or late notification fee is paid.

Fresh Start for the Mind reserves the right to refuse future services beyond multiple missed appointments or late cancellations.

Appointments

To schedule an appointment today, contact us at (404) 808-1161 or complete our online appointment request form.