Disclaimers & Online Privacy Policies →
Program Registration and Privacy Policy
For your convenience, we’ve made available pdfs of the forms you may encounter as part of receiving services from EVR. Please contact us if you have any questions or concerns.
- Notice of Privacy Practices: This included in the Registration form packet
- Client Registration Form: This is a four part form including medical concerns, privacy practices, consent and release of liability, consent and release of information.
Insurance & Payment Options
Psychotherapy sessions may be billable to insurance:
- In-Network Insurance Plans:
- Blue Cross/Blue Shield, PrimeWest, Medical Assistance (MA)
- Payment Options: Cash, checks, health savings accounts (HSA) credit cards, credit cards online via Pay Pal