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Please print, fill-out, and sign the appropriate Adult or Adolscent file information and bring to your first appointment. Also, make sure to print and fill-out the IPT Inventory.

ADULT
IPT Inventory
Social Media Policy
Mental Health Bill of Rights

* If you will be using your health insurance, please bring your insurance card to your first appointment. (NOTE: Most major insurances accepted including Medicare). If applicable, your co-pay will be due at the end of each session. Please note that using your healh insurance is not a guarantee of payment for services rendered.

* Please obtain pre-authorization prior to your first appointment, if required by your health insurance provider.

* Please ask Dr. Grant, if needed, about a discount up to 20% if you pay for services out-of-pocket. At this time, Dr. Grant does not offer a sliding scale fee for services. Please call for current session fees.

* Dr. Grant accepts cash, check, or credit card as a form of payment.
NorthStar Psychological + Consultation Services, LLC
429 E. Vermont Street
Suite 307
Indianapolis, IN 46202
Phone:
317-632-3225
Fax:
317-632-3253
eMail:
info@northstarpsych.com