Ambler Counseling Center Disclaimer

Insurance, Clinical & Crisis Disclaimer
Please note that submitting this form does not guarantee insurance coverage or payment for services. While our counseling center accepts many insurance plans, not all providers are credentialed with every insurance company, and not every form of insurance will be accepted. Coverage for services is determined solely by your insurance carrier.

In addition, completing this form does not guarantee that our practice will be the right fit for your needs or that we can provide the appropriate level of care. Each client will be assessed for clinical appropriateness, and if it is determined that a different level or type of service is needed, we will make recommendations or referrals accordingly.

Crisis Notice: This form is not monitored for emergencies. If you are in immediate danger, call 911. If you are experiencing a mental health crisis, please contact your local mobile crisis team or dial 988 to connect with the Suicide & Crisis Lifeline for immediate support.

Clients are ultimately responsible for all fees associated with services, regardless of insurance coverage or denial. By submitting this form, you acknowledge that you have read and understand this disclaimer.