Preparing for our First Meeting

 

Dr. Kaeppner is currently accepting new patients, both adults and children. His office is located in Anderson Township, easily accessible from I-275. Leave a message on his confidential voicemail at 513-313-7661, and he will contact you to schedule a time that is mutually convenient. During your first few sessions you will discuss what issue(s) prompted you to call, and goals for your treatment.  If you must cancel an appointment, please allow 48-hours notice so that another patient may be scheduled in your timeslot.

Fees are $180 for the initial session and $135 for subsequent sessions.  Insurance plans accepted include Aetna, Humana, and plans where mental health benefits are administered by HealthSpan; and you will generally only owe a copay with these plans.  If your plan is not on this list, you can check with your insurance company to see if you have out-of-network benefits. This is especially common with most Anthem plans.  Your treatment can also be funded by your flexible spending account or HSA.

DOWNLOADABLE FORMS

To make the most of our time together, and to ensure that your services are covered by your insurance plan, please take the time print and complete the following forms prior to our first meeting.  If you have any questions, please contact me at 513-313-7661, or email me at chris@chriskaeppner.com.  Completed forms can be faxed ahead of time to my confidential fax at 513-388-9711.

• HIPAA Form 

• Financial Information Form  

• Consent for Treatment  

• Child Intake Questionnaire

• Adult Intake Questionnaire

• Credit Card Authorization

• Record Release Form

• School Information Form (to be completed by school or daycare)

These forms should be opened with Adobe Acrobat Reader.  If you would like to download a copy, you can go to the following site: Adobe Acrobat Reader.  The confidentiality clauses in the HIPAA Form and the Consent for Treatment are governed by Federal and Ohio law and apply to all psychotherapists. That said, however, I will do my utmost to protect your confidentiality.

When you come for our first meeting, please also bring with you any evaluations or reports that would assist me in evaluating your child.  Examples would include:

• Individual Education Plans (IEP)

• Multi-Factored Evaluations (MFE)

• Testing by a School Psychologist or Private Psychologist

• Speech Therapy Reports

• Occupational or Physical Therapy Reports

• A Recent Eye Examination

The following sheet is for you to hang onto, and contains further information on my practice:

New Patient Information