Bethlehem Counseling Associates

Emphasizing the Importance of Head & Heart in Making Life Decisions

Resources

Understanding Your Mental Health Insurance - Benefits and Planning for Payment

Understand the options for funding counseling and psychological services prior to your first session at BCA.
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Setting an Appointment

When you have committed to seeking psychological services with BCA, here are the steps you will need to take.
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Employee Assistance Program

Find out how a work organization can give its employees and their family members access to mental health services.
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Documents and Forms

Download our documents and forms in PDF format. You will need Adobe Acrobat Reader to open these files. If you do not have this software installed on your computer, click here to download.

1. Child / Adolescent Assessment
2. Child/Adolescent Intake Form
3. Adult Intake Form
4. New Referrals Intake Form
5. Informed Consent to Counseling
6. Informed Consent
7. Privacy Policies and Procedures

8. Authorization to Disclose Information to Primary Care Physician
9. Compliance Assurance Notification
10. Release of Information Authorization
11. Financial Agreement
12. Planning for Payment