

equa.nim.i.ty n. evenness of mind especially under stress
Equanimity Counseling & Consultation LLC
Forms
Prior to your initial assessment, please download, print, and complete the attached forms and bring them with you to your initial appointment.

Client Self Evaluation 2013.doc (DOC — 353 KB)

Intake Form 2013.doc (DOC — 261 KB)

Questions to ask insurance company 2013.doc (DOC — 260 KB)
Sessions and Fees
Initial Sessions are 60 minutes long and are $130.00
Follow up sessions are 50 minutes long and are $110.00
Payment Options
Equanimity currently accepts credit cards, cash, and personal checks for payment of services at the beginning of each session.
Insurance Questions
We are currently in the credentialing process in order to be able to accept most insurances. At this time we are currently accepting the following insurances:
Aetna
Anthem
Cigna
CoreSource
United Healthcare
Medical Mutual
OSU/Primecare
Value Options
*currently pending with TriCare