ASTRA Forms
Our forms needed for treatment are located below. Please feel out these forms and bring them with you to your appointment.
- Beck's Depression Inventory
- Authorization to Release Protected Health Info.
- NICHQ Vanderbilt Assessment Scale
- Screen for Child Anxiety Related Discorders (Child)
- Screen for Child Anxiety Related Discorders (Parent)
- Referral Form
- Telehealth Consent Form
- New Patient Form
- Demographic Update Form 2021
Insurance Companies we Accept
- Anthem
- Tricare
- Humana
- Aetna
- UBH/Optum
- Cigna
- Value Options
- Bluegrass Family Health
- Mail Handlers
- UMR
- Gateway Health
- Medicare
- Medicaid
- Passport
- Humana Care Source
- Anthem Medicaid
*This list changes often; if you don’t see your insurance listed please give us a call to see if we might be in network.
