Current/ Returning Client Intake Request

Please correct the errors described below.

Client Information

About Your Request

Please note: it is our policy to consult with your current clinician before scheduling an intake with a new clinician so as to ensure appropriate clinical transition is facilitated!

Please note: this does not guarantee you will be scheduled with your preferred clinician(s).

Insurance Information

  • At Richmond Creative Counseling, our providers are unable to accept Medicare, Aetna Better Health of Virginia Medicaid, or Virginia Premier Medicaid.
  • Unfortunately, at this time none of our PMHNPs can accept Tricare for Medication Management appointments.
  • Failure to provide accurate insurance information may result in patient accepting full financial responsibility. It is recommended you contact your insurance company to verify your outpatient mental health benefits.
    Please upload a file

    It is important to RCC that all of our clients are able to receive ethical, unbiased, and confidential care. It is for that reason that we ask the following questions:

    Our patient registration coordinator will give you a call as soon as possible! Please ensure that your phone is able to receive voicemails so that if we miss you, we are able to leave a message. All calls will come from the phone number (804) 592-6311. We look forward to speaking with you!

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