Telehealth Counseling  in Southeast OHIO     

Phone:  740.448.1604  

Email for Intake packet: [email protected]

         No Office Visits -- Individual Counseling and Self-Pay Couple's Teletherapy Counseling for Ohio residents only

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 Once you have contacted my teletherapy office by emailing me at [email protected] and requesting an intake packet, you will be sent forms to complete.

  • Billing Information and Verification of Identity and Insurance

  • Payment source: If using insurance, the name of the company and the details of your coverage plan for services. We will need picture of both sides of your insurance card if you plan to use insurance.The pictures of the insurance card is to be emailed by using Ms. Smithchild's secure server:

    ([email protected]) or uploaded into the client portal that will be opened up for you to do your consent forms and screening questionnaires.

  •  Credit card information will need to be provided to be kept on file for billing co-pays, late cancellations (without 48 hours notice) or no-show fees of $50.00

  • You are fully responsible to gain the information you need from your insurance company about coverage and benefits for behavioral health teletherapy services. Contact them by calling the member services number on the back of your insurance card to ask: Do I have mental health teletherapy services coverage?Do they cover the CPT codes for diagnostic evaluation and psychotherapy? Do I have a co-pay, if so how much?Do I have a deductible? If so, how much do I pay the clinician for each visit? Do I have a limit on the sessions I can have in a calendar year?Is this counselor in my insurance network?Can you provide me with written information about my coverage and benefits so I can give it to the counselor? 
  •  Additionally, you will need to email or up-load a copy of your driver's license for identification and verification of Ohio residency. If you will not be using insurance, a fee plan is available for those who are paying out of pocket.
  • Completion of the web-site forms prior to our meeting are necessary to assist in the completion of the intake/assessment session and in developing a personalized treatment plan prior to the conclusion of your first appointment. On the next page are the forms to download and complete.

At the first session we will work to get to know each other by talking with each other:

  •  I will review your completed paperwork with you & ask clarifying questions to discover what your concerns are at the present. We will explore the natural strengths you have that will be utilized to help you succeed with your personal counseling goals.
  • You may ask me questions, too, for your understanding of how counseling works, and/or about any of my practice policies.
  • Insurance billable counseling sessions are provided for 45/50 minutes. (I will ensure that sessions will be brought to closure in a prompt manner, prior to the scheduling of the next appointment time, so that the daily office schedule remains timely for all clients and to comply with insurance standards.)
  • It often is helpful to have a notebook and ink pen to write down suggestions and recommendations I may have for you through out the course of our session or as personal reminders of what you learned about yourself in the session that day. To maximize the effectiveness of Teleherapy, I also recommend you keep notes during the week, journal if you can, and have a list of issues you would like to address for each session.
  • I take various types of private insurance, yet I am NOT ELIGIBLE to bill Medicaid or Medicare. I offer a reduced rate for those who are self-paying for their services. FULL payments (self-pay) and co-payments are accepted in the form of a MasterCard or Visa credit/debit card at the end of the session. Marriage counseling services are self-pay only. 
  • I DO NOT PROVIDE TELETHERAPY SERVICES TO COURT-RELATED OR LEGALLY INVOLVED INDIVIDUALS SUCH AS OMVI/DWI CASES, DOMESTIC VIOLENCE, DIVORCE PROCEEDING OR CHILD CUSTODY CASES. NOR DO I PROVIDE EVALUATION SERVICES FOR THOSE SEEKING DISABILITY CLAIMS, WORKPLACE FITNESS SITUATIONS OR ACCIDENT CLAIMS.