Preparing for Your First Appointment

Lorenz Clinic is a multi-disciplinary psychotherapy clinic serving the unique mental health needs of children, adults, families, couples, and groups.

Child Custody

Mental health providers have a responsibility to gain proper consent for services.  This means we will need custody or guardianship paperwork for anyone who cannot consent to services on their own, such as vulnerable adults or minor children.  To do this, we will need a copy of your divorce decree if you share custody with another parent.  Additionally, the other parent has the right to know their child is being treated and give consent (just like you would).  It is helpful to let the other parent know ahead of the first appointment that you intend to engage in services here, and that they will be receiving paperwork to sign for consent.  If the other parent opposes treatment, we will not be able to see your child.

Records

In order to properly prepare for your appointment, it is helpful to send over your medical records as far ahead of the first appointment as possible.  These records should include past hospitalizations, recent primary care or specialty care visits, and records from past mental health treatment.  To do so, reach out to those facilities and ask them to fax to Lorenz Clinic at (952) 443.4604. Often, our clients are able to download records off a patient portal app, and these records can be uploaded into your Lorenz Clinic patient portal.  If you have paper records, you may also bring them to any clinic location and we can make a copy.

If your child is being seen, your clinician will also need a copy of any other relevant paperwork, such as an Individualized Education Plan (IEP) or past psychological evaluations.  Those can also be faxed to (952) 443.4604, brought to the appointment in person, or uploaded into your Lorenz Clinic patient portal account.

Telehealth Appointments

If your appointment is virtual, you will receive your zoom link 2 days prior to your upcoming appointment.  Additionally, you will receive an email asking you to check in up to 8 days prior to your appointment.  There are important forms to sign, so we would encourage you to do so.

Insurance

Our clinic is in-network with the majority of health insurances and many employee assistance plans (EAPs). Services are typically covered in full or in part by medical insurance or employee benefit plans. Please check your coverage carefully by asking the following questions:

Forms

All clients will receive an email requesting they check in up to 7 days before their appointment. The link in this email will enable clients to sign any required forms, answer health questions, and verify their insurance.

Our Release of Information form can be found here and submitted before your first appointment. Please take a few minutes to submit your information electronically. Paper forms are available at each of our clinic locations.

Submit a Release of Information

Payment

Insurance, Healthcare Savings Accounts (HSA’s), cash, check, and all major credit cards are accepted for payment. Patients receive monthly statements in the mail that outline account activity and balances. There are many payment options including:

Good Faith Estimate

You have the right to receive a “good faith estimate” for what your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

• Make sure to save a copy or picture of your Good Faith Estimate.

Cancellation Policy

If you do not show up for your scheduled therapy appointment, and you have not cancelled 24 hours in advance, you will be required to pay the full cost of the session.

Crisis Numbers

If you or someone you know is experiencing a mental health emergency (i.e., someone might get hurt), it’s best to call 911. Otherwise, here are some helpful links to 24-hour mobile mental health crisis teams in our area:

Helpful Links

Others are here to help too: