Step 1 – Call (704) 365-4545 or email firstname.lastname@example.org to schedule an appointment in Charlotte or call (804) 741-2333 to schedule an appointment in Richmond.
Step 2 – Fill out and submit your intake form and signed disclosure statement for the counselor you are seeing.
Click the link below to be directed to the new client paperwork that you need to read, complete and return to us prior to your first session. That will allow us to be better prepared for your arrival. If you wish to print out a copy for yourself, there is a link on the front page that will take you to a printable version.
Click beside your counselor’s name to download and sign their disclosure statement (sign and bring with you to your first appointment):
- Pete Bondy
- Roger Edwards
- Lauren Cheatham
- John Pierce
- Meredith Spatola
- Kurt Zuiderveen
- Mollie Johnston
- Ben Jones
The Barnabas Center is not a preferred provider for any particular insurance company nor are we equipped to file insurance claims for you. It is the client’s responsibility to check with their individual insurance company to see what their policy covers. If you receive insurance benefits, you will still be expected to pay for each session at the time of your appointment.
Your counselor can provide a form at your request that supplies the information your insurance company will need for you to file a claim on your own. Please refer to your individual counselor’s disclosure statement for complete details regarding our insurance procedures.
Payment for counseling services is expected at the beginning of each session. We accept cash, check or credit/debit cards. We are unable to make insurance claims for you, but will be happy to provide (at your request) a form that supplies the information your insurance company will need when you file a claim. If you receive insurance benefits, you will still be expected to pay for each session as it occurs.
Scholarships are available upon request and will be granted, as available, by considering your household’s annual gross income and any extenuating circumstances. Clients may submit a Scholarship Request Form before or after making their first appointment, but full payment will be expected at the time of the first visit, if a scholarship has not been approved. A Reply to a Scholarship Request is generally given within two business days. Any questions regarding the scholarship process for Charlotte should be directed to the Administrative Coordinator, Cinda Hutchinson at email@example.com or 704.365.4545 ext. 317.
CLICK HERE to download the Scholarship Request Form for Charlotte.
Clients sometimes approach their church for assistance with their counseling or group fees. If your church is helping you pay for your counseling session or group fees, we need a written agreement signed by your church with their financial commitment prior to your first counseling session. Please check to see if your church is one of our donor churches before selecting the appropriate church agreement form.
Donor churches include:
- Christ Episcopal
- Church at Charlotte
- First Presbyterian Church of Stanley
- Freedom House Church
- Hope Community Church
- King of Kings Anglican
- Lake Forest Church
- New Charlotte Church
- Pleasant Hill Presbyterian
- Quail Hollow Presbyterian
- Queen City Church of Christ
- Steele Creek Church of Charlotte
- Venture Church
- Uptown Church
- Warehouse 242
- Westminster Presbyterian
- Young Life Carolinas (applies to full-time staff only)
CLICK HERE to download the Church Scholarship Agreement Form for Charlotte.