Brianne Blevins, LMFT-S, LPC-S
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NEW CLIENT FORMS

Client information form
Informed Consent
Text & Email Policy
Telehealth Form
Insurance form BCBS only
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​*Please note the only insurance accepted is Blue Cross Blue Shield PPO, but I am not taking on new BCBS clients at this time. Only cash or checks may be accepted for co-pays for existing insurance clients.

FEES

15-minute phone consultation: Free
Initial Intake session: $150
Individual 50-minute session: $130
Couple or family 80-minute session: $185

Payment is due at time of session. Cash/Checks are preferred. Credit cards accepted. I am an out-of-network provider for most insurance companies, and can gladly provide a superbill monthly if you wish to seek reimbursement. Please check with your insurance provider for more details and eligibility. Additionally, please note that a diagnosis must be provided should you wish to submit a superbill to your insurance provider.

NOTE

I take this profession very seriously and strive to provide the highest quality of care to all clients.
If you feel that you have been unprofessionally mistreated or experienced treatment beyond ethical bounds, please allow me to have a conversation with you about it so that we can explore a repair as well as how I can improve and provide the best quality care for other clients.

If you’d like to file your complaint to the Licensing Board in Texas you can contact the Texas Behavioral Health Executive Council at 1-800-821-3205 or email enforcement@bhec.texas.gov to request the appropriate form or obtain more information. Mailed complaints may be sent to:
​Texas Behavioral Health Executive Council
Attn: Enforcement Division
333 Guadalupe Street, ste. 3-900
Austin, TX 78701


The Texas Behavioral Health Executive Council investigates and prosecutes professional misconduct committed by marriage and family therapists, professional counselors, psychologists, psychological associates, social workers, and licensed specialists in school psychology. Although not every complaint against or dispute with a licensee involves professional misconduct, the Executive Council will provide you with information about how to file a complaint. Please call 1-800-821-3205 for more information.

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