Brave Counseling & Wellness
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How will you be paying for services?
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I am private pay / cash pay.
I am private pay and would like to submit a Superbill to my health insurance company.
I would like to use my health insurance. However, if you do NOT accept my insurance I will be private pay / cash pay.
I plan to use my EAP (Employee Assisted Program) Sessions through Boone County Fire Department.
I plan to use my EAP (Employee Assisted Program) through First Tracks Integrated Network, LLC
Do you have Medicare or Medicaid? Check all that apply. (NOTE: Brave does NOT accept any form of Medicare or Medicaid. Therefore, you will be required to use another payment option such as private insurance, out-of-pocket payment, or cash pay for our services at Brave.)
No, I do NOT have Medicare or Medicaid.
Yes, I have Medicare.
Yes, I have Medicaid.
Payment for Services: Brave is an out-of-network provider. We collect payment at the time of service.
I understand Brave Counseling and Psychiatry is an out-of-network provider and does NOT accept health insurance.
If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.
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