What you need to have before seeing a provider:
- Patient name, DOB, SSN, address, phone, email, insurance
- Parent/Guardian name, DOB, SSN (insurance verification), address, phone, email
Proof of legal guardianship is required if not the biological parent or a custody situation
- Requested services (psychiatry, case management, CANS assessment, individual therapy, family therapy)
- Presenting concerns, symptoms, diagnoses, medications, history of/thoughts of self-harm, suicide attempts, violence, PCP, BH providers, specialists, and recent hospitalizations
- Referral name, phone, email, and any other organizations involved (ROI required for all referring agencies). Court referrals require psychological evaluations completed for the court.
When a child is in the custody of Children's Services and living in temporary housing, the caregiver must bring specific legal and medical documentation to ensure the child can receive treatment:
Placement Paperwork: Official documentation from the agency (e.g., a placement agreement) confirming the child's residence.
Medical Consent Form: A signed authorization from the county agency or legal guardian allowing consent to medical treatment.
Proof of Custody: Any court orders or government-issued papers showing the child’s status as a dependent.
Guardian Identification: Photo ID and any "parent badge" or caseworker contact information provided by the agency.
Insurance or Medicaid Card: The child’s current medical card; for many children in care, this will be a state Medicaid card.
What to expect from your first appointment
- An in-person appointment is required for first visits
- A parent/legal guardian must accompany a minor
- Please bring up to date list of all current medications, medical conditions and any previously diagnosed mental health diagnoses
- If possible, be aware of birth history and development
- Be aware of your preferred pharmacy and their address for medication prescriptions
What to expect at follow-up appointments
- May be in-person or telehealth depending on appropriateness
- A parent/legal guardian must always accompany the child for in person appointments or be available for telehealth appointments
- Follow ups can take 20 minutes to one (1) hour depending on appropriateness
Contact Us!
For questions and all other inquiries, email us at counseling@southeastinc.com.