New Patient Questionnaire

New Patient Questionnaire

Welcome to Astute Counseling & Wellness Services! Please complete the following form to help us understand your needs and match you with the right therapist.

Please fill out our form and we will be in touch with you within the next a few hours. Please check your spam and junk email for a response email from info@astutecounseling.com.

Office Hours

• Monday – Thursday: 8 AM – 8 PM

• Friday: 9:30 AM – 5:30 PM

Please note, we continue to offer in-person sessions for vaccinated patients and telehealth session.

About You

Insurance and Billing Information

In-Network Plans

We are in-network with Blue Cross Blue Shield PPO and United Healthcare PPO (including UMR PPO and OPTUM PPO) for behavioral health. We handle all claims and billing directly with these insurers. You may still be responsible for deductibles, co-pays, or co-insurance as per your policy.

Out-of-Network Plans

If your insurance provider is out-of-network, a $190 fee is due at the time of service. We can assist you in submitting claims to your provider for potential reimbursement. Please contact your insurer for details on your out-of-network behavioral health benefits.

Next Steps

Once assigned a therapist, you’ll receive an introductory email. Please respond within 24 hours to confirm your time slot; this helps us accommodate everyone waiting for appointments.

Thank you for your interest in Astute Counseling & Wellness Services! Please let us know if you have any questions, and we look forward to supporting you on your wellness journey.