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Forms and Payment Information

Dr. Hinkle is a provider for a number of insurance networks. If you hope to use insurance to help to pay for your sessions, please check with your carrier to see if Dr. Hinkle is in network for you, what your coverage is, and if your policy requires referral or preauthorization for outpatient mental health services. If your sessions are covered by insurance, you will be asked to pay your copay at the time of service. Dr. Hinkle contracts with a billing service which will bill your insurance and then send you a statement for any unpaid balances.

If you will be paying out of pocket, please call the office for the current fee schedule. Cash, check, or VISA/Mastercard are accepted.

 
Please come 15 minutes early to your first appointment to complete paperwork, or download and complete the three forms below and bring with you to your first appointment.
 
 

Registration form - form for general information about you and your insurance.

Services Description and Agreement - agreement for services and privacy notice.
Authorization Form - This is the Authorization to Release Information.
Privacy Notice - HIPAA privacy notice.
Nondiscrimination Notice - IHCP Nondiscrimination Notice

 


 

For more information about general mental health:
http://apahelpcenter.org

For more information about eating disorders:
http://edtfi.org
http://NationalEatingDisorders.org
http://www.gurze.com
http://www.anad.org
www.eatingdisorderhope.com

For more information about EMDR:
http://www.emdria.org

Top Psychologists in Carmel, IN
A Carmel, IN Psychologist winner of the
Patients' Choice Awards.
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Copyright 2015, Dr. Linda Hinkle, All Rights Reserved. All information is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical conditions. You should seek prompt medical care for any specific health issues. External website links provided on this site are meant for convenience and for informational purposes only; they do not constitute an endorsement. These external links open in a different window.
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