Forms &

Financials 

Patient InformationForm

Notice of Policies

 Notice of Privacy

Informed Consent

Telehealth Consent

Medicaid Financial Acknowledgment

HIPAA Notice to Patients

Accepted Insurance Plans

BlueCross BlueShield

Blue Care Network

Optum/United HealthCare

Medicaid

Medicare

Cigna

Blue Cross Complete

ComPsych

McLaren

Finances

Cost per Session: $85-175 (depending on procedure)

Sliding Scale: Yes, based on qualifying financial need.

Pay By: Cash, Check, American Express, Discover, Mastercard, Visa, FSA, HSA.

Contact Us

127 N Lafayette St

South Lyon, Michigan 48178

 

Tel. 248-573-7417

© 2020 by Lyon Counseling Center