910 South Chapel Street Suite 102
Newark, DE 19713
(302) 224-1400
email: info@midatlanticbh.com
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| MID-ATLANTIC BEHAVIORAL HEALTH WELCOMES THE OPPORTUNTIY TO JOIN YOU ON YOUR JOURNEY TO REACHING YOUR FULL POTENTIAL. |
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Insurance / Billing
We partner with numerous insurance companies.
Some of the insurance companies we contract with include:
Medicare
Delaware Physician’s Care Incorporated
Diamond State Partners
Child Mental Health
Compsych
BC/BS of Delaware
Aetna
Cigna
Our conveniently located, new facility includes dedicated spacious assessment, treatment, group and play therapy rooms.
Since our partnerships change from time to time please verify our participation with your insurance company when scheduling your appointment.
We assist patients who are covered by other insurance companies or do not have coverage to obtain the services they need within their financial means through a variety of options. Contact our office manager to discuss your options.
Location / Contact Information
910 South Chapel Street Ste 102
Newark, DE 19713
Phone: (302) 224-1400
Fax: (302) 224-1402
Web: www.midatlanticbh.com
Email: info@midatlanticbh.com
New Patient Forms
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Congratulations on taking the first steps to reach your full potential. We are pleased you have chosen us to assist you.
All new patients have the option of downloading and printing the new patient paperwork at home by clicking on the links below and bringing it to their first appointment. We encourage everyone to review the first three documents and we request that you print and complete any other applicable forms. At your first appointment our staff will review these documents with you.
Welcome letter (All Patients review)
Notice of Privacy Practices (All Patients review)
Practitioner-Client Agreement (All Patients review)
Payment Contract (All Patients complete and bring)
New Patient Information Form (All Patients complete and bring)
Receipt of Policies (All Patients complete and bring)
Child/Adolescent Information Form (All Patients complete and bring)
Adult Information Form (All Patients complete and bring)
Insurance Authorization Form (All Patients complete and bring)
Authorization to Release Information (All Patients complete and bring)
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