policies and forms

Payment for Services

Payment of deductibles, co-payments, co-insurance, and self-pay amounts are due at the time of service. As a courtesy to you, we will file your primary, and secondary insurance.

 

In divorce situations, the parent bringing the child to The Counseling & Wellness Center for care will be responsible for all charges during treatment.

 

For any unpaid balance, we will first send a letter requesting payment or call to discuss payment options. We reserve the right to use a collection agency. No clinical information is given to collection agencies.

Late Cancelation and No Show Fee

A $50 fee will be charged for appointments canceled or missed with less than 24 hours’ notice. If you need to cancel an appointment, please call during office hours. Monday-Thursday 9A-5P

Intake and Other Office Forms

Click on the Form(s) below. Complete, sign, and bring them with you to your appointment. Be sure to arrive 15-20 minutes early for your first appointment. This will help us keep you on schedule. Contact our office at 740.401.3088 if we can be of any assistance to you. 

The Counseling and Wellness Center OHIO

225 Main Street | Belpre Ohio 45714

O: 740.401.3088 | F: 844.318.0944