Fee for Service
Please note that Mendel Psychological Associates does not participate in insurance panels or belong to managed-care networks. Our principle is that we spend all our time and energy working with clients rather than spending valuable time dealing with insurance companies. We believe that our responsibility is to the children and families with whom we work and not to insurance companies. Therefore, we are dedicated to providing the best possible care to those who come through our doors.
Our policy is to collect payment via personal check or cash at the time of service and to provide clients with receipts containing all necessary information for them to submit to their insurance companies in order to request reimbursement. Our services are covered as out-of-network provider by most insurances. We do not accept credit cards.
Forms for New Clients
Please download the following documents prior to your initial session. Simply click on the link(s) and read and/or print the appropriate form.
- The Notice form is simply for you to read and keep.
- The Agreement form is for you to read and keep. The last page needs to be signed and brought to the first session
- Please complete the appropriate background information form (Parent-Child form, College Student form, or Adult form) and bring to your first session:
Forms for Established Clients
For our established clients, below are some useful forms:
- If you wish to have your therapist to consult with, request information from, or release information to another health care provider, please download and complete the Authorization form. Please fax the completed form to us at 919-882-1567, or mail it to 3727 Benson Dr, Raleigh NC 27609.
- Behavioral Contract sheets for parents. If your child is working on a behavioral contract with Dr. Mendel, you can print out blank contracts then simply write in your child's behavioral goals and the days of the week on the sheet and make as many copies as you need.