Kentucky Clinical License Supervision

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New Client Forms

Please print and complete this packet to the best of your knowledge prior to your first appointment. If you have questions you can leave portions blank and they can be completed at your first appointment. If you are bringing a minor child or teen to their first appointment a parent or legal guardian must be present.


Services are provided on a fee for service basis.  Check, Cash, Visa, Discover, MasterCard, Health Savings Account (HSA) and Flexible Spending Accounts are accepted for payment of services at the time of service.


We accept most insurances. Services may be covered fully or partially by your health insurance or EAP plan. You can easily check your own insurance benefits for counseling. Simply call the customer service number on your card and ask them for your “outpatient mental health benefits.” You will want to know your coverage for in-network providers and out-of-network providers. If you need assistance in determining your benefits Compass Counseling can help you.

Cancellation Policy

Compass Counseling understands that you may occasionally need to cancel or reschedule an appointment.  Scheduled appointment times are reserved especially for you.  If an appointment is missed, or canceled with less than 24 hours’ notice, you (not your insurance company) may be charged the full fee for that missed session.