First Appointment Documentation
Required Documents
Below are the five documents we need to receive before your first appointment.
The first three documents are for you (and maybe your partner or other family members participating in therapy) to each fill out separately. The more detail you provide on these intake forms, the better the work can proceed.
The last two describe your Consent to Treatment and our commitment to Confidentiality per HIPAA requirements. Please read these carefully, because you need to sign these forms and you need to know the basic premise of our relationship.
Please send the completed forms to Richard Hill PhD by email or by surface mail to the address shown below.
Fee payment policy Accepts Insurance as Follows:
Medicare payments that include supplemental coverage are accepted as payment in full.
He also accepts other insurance companies, but he is not an in-network provider. That means that the insurance company will be sent a proper invoice promptly after the session, and the insurance will pay the insured directly whatever is due to them per the terms of their policy in effect at the time.
Clients who do not rely on Medicare pay the fee in full at the time of the session by way of credit card processing through Square.
Please send the completed intake forms before your first session by email or by surface mail:
Richard Hill PhD
640 Bailey Rd., Suite 225
Pittsburg, CA 94565x (x)x (x)x (x)x (x)