Please follow these steps to inquire about becoming a new client with Beloved Wellness Center.
STEP 1: Complete this pre-screen intake form.
STEP 2: Check your email for approval or denial. Our decision is based on what you put on this form. If approved, you will be given a link to request an appointment.
We will respond within 24-72 business hours. Our hours are Monday through Wednesday 9-5pm.
STEP 3. After you request an appointment, it will stay pending (unapproved) until all of your intake paperwork is reviewed for accuracy and your payment clears (if you are paying out-of-pocket).
Check your email's inbox or spam folder for a message from Client Portal for the paperwork.
PLEASE READ CAREFULLY.
FREQUENTLY ASKED QUESTIONS:
Who do you serve?
We serve Black women, Black teen girls and active allies (those advocating on behalf of Black, Indigenous and people of color) ages 13 to 45.
If you're seeking family therapy, the identified client (client of record) must be within this age range.
Who can complete this form?
You must be over 18 years old to complete this form. If you are not over 18 years old, DO NOT continue. A parent or legal guardian must complete this form.
Do you accept insurance?
Yes. At this time, we ONLY accept Network Health (private insurance).
What other payments do you accept?
We accept self-pay (out-of-pocket), private pay (out-of-pocket), health savings accounts and some employee assistance programs (EAP). To learn more and review our rates, click
HERE.
Do you accept reduced fee clients?
Yes, we accept a limited number of clients wanting a reduced fee through Open Path. Click
HERE to learn more about Open Path. Beloved is not affiliated with this organization.
We do not offer a sliding fee, but do offer 10% off of follow-up sessions if you choose to not use Open Path.
Why do I need a credit card on file?
ALL clients are required to have a credit card on file for business purposes which will be detailed in your paperwork. We will never misuse your card.
After you discharge and your account is in good standing, we will delete your card.
If paying out-of-pocket and your card is declined, you will have 48 hours to update it or your file will be closed.
What happens at the first appointment?
We will focus on your presenting concerns, hopes from therapy, goals, next steps and whether we're a good match to work together.
Can I submit this form if I'm not ready to pay the rates, use EAP or my insurance is not active?
No. We do not offer payment plans or allow clients to carry balances.
Do you keep a waiting list?
No.
When will I hear from you?
Allow 24-72 business hours for your pre-screen form to be reviewed.
Our hours are Monday through Wednesday 9-5pm.
Is there new client paperwork to complete?
Yes. If we approve your pre-screen, you will be sent a link to request a new client appointment.
After you request an appointment, it will stay pending (unapproved) until all of your intake paperwork is reviewed for accuracy and your payment clears (if you are paying out-of-pocket).
Check your email's inbox or spam folder for a message from Client Portal for the paperwork.
After ALL of your intake paperwork is completed and reviewed, we will decide if you're a good match with our agency.
If you are, you will continue with the intake process. If you are not, you will be informed via email and offered referrals.
How long will I have to complete intake paperwork?
You will have 72 hours to complete ALL intake paperwork or your file will be closed.
Will I have to pay anything before the first appointment?
If you are self-pay or private pay, you will be required to pay the full intake session rate of $200. If you are approved for a reduced rate, you will be required to pay the agreed upon rate.
We will wait until this payment clears then your new client appointment will be approved. This may take up to a few minutes to a few hours.
If you are using insurance, you will not need to pay anything before the appointment, but on the date of the appointment, you may be charged a co-payment. This amount will be shared with you before the appointment and you will need to sign an agreement that you understand.
We look forward to hearing from you!
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Disclaimer:
If you are having a medical or mental health emergency, please call 911. This page and website are not monitored 24/7. Your form will be reviewed within 24-72 business hours. Submitting this form is NOT an agreement or start to services. For crisis and community resources, please visit our resources page at www.belovedwellnesscenter.com/resources.
