Please understand that your insurance policy is a contract between you and the insurance company, and you are responsible for understanding the provisions and any exclusion to your coverage. If we negotiate a copay/insurance coverage option for your treatment, I will either submit the appropriate insurance forms for you or I will provide you with an appropriate insurance claim form on a monthly basis for you to submit to your insurance company for reimbursement. In either case, you are ultimately responsible for all fees for your therapy whether or not your insurance company provides coverage or reimbursement. You should also be aware that by using any third party payment source for your therapy, your confidential relationship is impacted. I will be required to create insurance company invoices with a DSM diagnosis code, and may be required to supply additional treatment information in order to substantiate that you are dealing with a mental health issue or disorder for which they provide coverage. If you want me to submit information to the insurance company to support your claim, you will need to sign a release of confidential information form.