Resources

Priscella Lazalde-Smith

Office Manager

Payment Options

  • Cash
  • Checks
  • Credit/Debit Card
  • 3rd Party 
  • Insurance 

Insurance Information

We bill your insurance company for you and are adding to our list of paneled insurance companies all the time, improving our service to you. Listed below are a few. Review the information below and ask us about your when you schedule your first appointment.

  • Blue Cross
  • Aetna
  • Cigna
  • DMBA
  • United Health
  • Regence
  • Bridge Span
  • Pacific Source
  • and Others

Third-Party Billing Arrangement

Extended family, church organization, and others within the client’s support systems are often eager to help pay for services. We offer them the ability to do that. For example if you have a bishop or family member who would like to pay for your sessions can fill out a Third Party Billing

Forms

  • Automatic Payment Authorization
  • Cornerstone Application
  • Financial Agreement Phase 1
  • Information & Consent Form – 15
  • LifeSTAR Application
  • Lifestyle Contracts -Consent for Tx
  • Lifestyle Intake Form
  • Ph1 Informed Consent
  • Release of Information Authroization
  • Rising Warriors Intake
  • Third Party Billing Policy & Agreement

FAQs

How long is a counseling session?

Typically sessions last 45-50 minutes.

Is our session Confidential?

Yes. We follow legal and ethical requirements of counseling and healthcare to protect your confidentiality. There are exceptions when safety of the client or others is at risk that disclosure of confidential client-therapist information may be released.

How long will my Counseling Take?

The length depends on the issues you are seeking in counseling. Some issues can take only a few sessions while others may take much longer. You can discuss this with your therapist.

If I miss an appointment what happens?

There is a high demand for appointment times. Should you need to cancel your appointment a 24-hours notice is required to avoid fees. If proper notice is not given, your session will be counted as a missed session and you will be charged the full counseling fee. Please keep in mind; any fees that assessed for missed appointments cannot be billed to your insurance company or bishops. These fees are due in full at the time of your next session.

Forms

Cornerstone Counseling 2021 Paperwork

Automatic Payment Authorization Cornerstone

Cornerstone Application

Financial Agreement for Phase I

Information and Consent Form - 15

LifeSTAR Application

Lifestyle Contracts - Consent for Tx

Lifestyle Intake Form

Ph1 Informed Consent

Release of Information Authorization Form

Rising Warriors Intake

Third Party Billing Policy and Agreement