This form is to request information regarding clinical services (e.g., individual assessment, therapy, and consultation). If you are looking for information about educational programs and services for students, please do not complete the form below. Instead, please visit our student programs page.
All information entered in the form below will be treated as confidential.
Please enter either the client's current grade or their most recently-completed grade.
Belin-Blank Center psychologists are currently providers for Blue Cross/Blue Shield. Clients also have the option of paying privately for services. Clients have the responsibility of contacting their insurance providers to determine coverage.
Financial assistance may be available to prospective clients with financial needs. Please check the box below only if you have filled out the financial aid request form.
Select this option if you believe the client may have high intellectual or academic ability and concerns about specific areas of challenge (e.g., possible learning disability, attention disorder, autism spectrum disorder, mood or behavioral concerns, etc.). Twice-exceptional assessments involve determining whether a client meets criteria one or more psychological diagnoses, while also examining their pattern of strengths.
Individual counseling services are available for high ability and twice-exceptional clients who may be experiencing challenges related to life transitions, stress, social relationships, a psychological diagnosis (e.g., anxiety, depression, ADHD, Autism Spectrum Disorder), and so on. Counseling services at the B-BC are provided by licensed psychologists, as well as advanced doctoral students under the supervision of a licensed psychologist.
Consultations are one-time appointments that allow you to share your questions and concerns with a psychologist and request feedback. Consultations typically occur after an evaluation has already been completed. This may involve having a psychologist review the client's prior records (including evaluations from other providers) to generate recommendations, requesting assistance with a specific concern (e.g., responding to a recent incident of bullying), or determining the types of programs and services that may be beneficial for your family (e.g., counseling, re-assessment), etc. Consultation appointments are scheduled on an ongoing basis. Consultation fees are often not covered by insurance.
The ACC's social skills intervention group is for clients in grades 7 through 9 who demonstrate strong intellectual and/or academic skills and social skills challenges (either due to Autism Spectrum Disorder or another diagnosis). Groups are organized periodically, and if you select this option, we will contact you when we are organizing the next social skills group session.
Career assessments are conducted with adolescents who would like support in making decisions about educational and career plans. The assessment includes measures of career interests and aptitudes, personality characteristics, and personal values. The counselor and adolescent then review and discuss the results of these assessments in relation to the adolescent’s general aspirations. The charge for this service is approximately $400; because this is not a medical expense, it cannot be submitted to insurance.