Pre-Registration Process

The pre-registration process is complete only when the Medical Insurance, Demographic data and HIPAA, Consent Forms are electronically read and signed.

• The Administrative staff collects the HIPAA, Consent forms, Insurance/EAP information, payment information, insurance verification is processed and notified.

• Appointment scheduling is done after the Billing Specialist verifies the insurance benefits and pre-registration information. The billing specialist will email the client to inform them of their financial responsibility before the appointment.

• The scheduler sends an email verification to schedule the client with dates and times available with the chosen therapist.

EAP Pre-Registration

• Complete the Pre-registration information, HIPAA and Consent Forms, payment information, Insurance card JPG image, EAP authorization and all other demographic information before scheduling your first session.

• Contact: Anita Rock@sahayatherapy.com or Call at 571-509-0182.

• For practice question contact  practicemanager@sahayatherapy.com or call at 571-509-0182

Appointment Scheduling & Rescheduling

• Self-Pay: Clients that are not covered by insurance accepted by our practice should select the Self-Pay option

• Pre-registration, registration, scheduling and Billing assistance please email the contact information below.

• Please read and electronically sign the HIPAA and CONSENT forms, provide payment information, other demographic data.

• Contact : Anita Rock@sahayatherapy.com or Call at 571-509-0182.

• practicemanager@sahayatherapy.com or call at 571-509-0182

• Rescheduling appointments will be done only via email. Please refrain from texts.

Self-Pay Clients

Clients who do not have insurance coverage, or whose insurance carriers are not on our accepted list, may choose the Self-Pay option.

practicemanager@sahayatherapy.com or call at 571-509-0182

For current self-pay rates, please contact at AnitaRock@sahayatherapy.com.

You may also reach Anita directly at 540-220-1329 for billing questions or payment setup.

Please complete and sign all required HIPAA and Consent forms electronically before your first session.

Insurance Clients

If you are using insurance, please email a clear copy of both the front and back of your insurance card (in .jpg format) to Anita.Rock@sahayatherapy.com.

For assistance with pre-registration, scheduling, or billing inquiries, Anita can also be reached at 571-509-0182.

Before beginning therapy, all clients must review and complete the following forms to ensure a secure, compliant, and efficient start to care. These forms can be filled out electronically through our website or sent securely via encrypted email.

• HIPAA Privacy Practices Form – outlines your rights and how your information is protected.
• New Client Intake Form – gathers essential background and demographic information for your EMR.
• Telehealth Psychotherapy Consent – confirms your consent to participate in HIPAA-compliant video sessions.
• Group Therapy Informed Consent (if applicable) – explains participation expectations and confidentiality.
• Payment Authorization Form – secures your preferred payment method for co-pays and session fees.