Personal Balance Counseling Registration
Prior to entering into a counseling relationship with Personal Balance Counseling (PBC) , it is important that we establish the foundation for a beneficial therapeutic relationship. Establishing this foundation starts with the completion of a PBC registration packet. The registration packet includes the collection of personal and mental health information that is used as input into the Intake Assessment process as well as other administrative items such as PBC’s office policies and billing procedures, insurance information and declarations and notice of privacy practices.
Complete ONLINE or CLICK on the file names below to download to your personal computer to print and complete. Return all completed registration forms to PBC prior to the start of your treatment.
Personal Balance Counseling offers intake appointments and regularly scheduled appointments with your therapist at scheduled rates.
DBT skills counseling is offered at a varied rate, pending insurance plan and individual versus group sessions. In addition, upfront fees are required for DBT group materials, commitment fees and phone coaching for $150, adult fee, and $75 initial fee for adolescents.
A fee of $60 is charged for No Show appointments. Please call for additional information.
For those clients utilizing insurance, Personal Balance Counseling is an in-network provider with the following plans:
- BlueCross BlueShield of Illinois Preferred Provider Organization (PPO)
- BlueCross BlueShield of Illinois Blue Choice PPO (BCS)
- BlueCross BlueShield of Illinois HMO (HMO) - Call for specific plan details
- Magellan Healthcare
- United Behavioral Health
We also offer out of network billing for other insurance plans not listed. Please call for additional information.
Payments for cash services, insurance deductibles and co-pays are due at time of service. We accepts Visa, Mastercard, and Discover as well as cash and personal check as form of payment.