Registration Forms

The Forms below are in pdf format.  Download the Forms to your computer.  Open and complete the Forms and save the completed Form to your computer again.  Finally, email Ray Sibert at ray@lightfindinghope.com.  Ray will respond with an encrypted email link for you to email the completed Forms securely.

• 1 Office Policies and Registration Instructions
• 2 New Client Registration Form
• 3 HIPAA – Notice of Privacy Practices
• 4 Authorization for Electronic Communication
• 5 Virtual Counseling Informed Consent Checklist

In-Network Insurance Provider for: Aetna; Ambetter; American Behavioral; Beacon Health Options; Blue Cross Blue Shield (where BCBS is the behavioral health provider); Medicaid; Sendero Health Plans; Superior HealthPlan/Cenpatico (CHIP & STAR); United Healthcare/Optum.  Some insurance companies have specific providers for some employers; contact your insurance company to confirm that Raymond Sibert is in your network.  Or contact Ray and provide your insurance information so that he can verify your benefits.