Welcome to Your New Horizon
Horizons Mental Health Center welcomes you to a safe and comforting place. As you prepare for your first visit, please review the following important information and complete the necessary forms. We appreciate your cooperation in helping us better serve you.
What to Bring
Be sure to have the following items with you for your first visit:
- Medication List
- Guardianship Paperwork (if applicable)
- Insurance Card or one of the following:
- Proof of household income (Federal Income Tax Return, W-2, and three current pay stubs)
- Current benefit determination letter/application letter for disability, workers compensation, unemployment, general assistance, or food stamps
New Patient Paperwork
We understand it can be inconvenient to complete multiple forms prior to your first visit, but these items help ensure a quick check-in process and enable us to provide the best care possible. If you have any questions about the following paperwork, please call us at 620-663-7595.
4 • Fill out the appropriate mental health self-assessment form:
This form must be filled out within 48 hours of the appointment.
Please know you will be financially responsible for all insurance co-pays at the time of service, depending on the type of insurance plan you have. If you do not have insurance, you may apply for placement in our Sliding Fee Scale program for self-pay consumers. We will also help you set up a payment plan for the services you receive.