"I thought that I put all of this stuff behind me, but it's coming up again."
-Therapy Participant
Forms
and Other Services
The Process of getting services from FTA-LEAP
​
-
Make contact with us regarding your needs through email.
-
Complete the following paperwork and email it back to us.
-
We will call you to get more details and to let you know if we can meet your needs.
​
​
​
​
​
​
​
​
​
​
​
​
​
​
Fees and Payments
Fairbanks Therapy Associates accepts both insurance and self-pay clients. Payment is due at the time of service and should be made online prior to your appointment. We accept cash and all major credit cards. We do not accept personal checks. As a courtesy we will bill your insurance company if all information has been provided. We strongly recommend that new clients contact their insurance providers to determine their policies provider benefits. We also recommend that clients stay in touch with their insurance company, as insurance company payment rates and co-pay rates often change without notice. We will provide clients with monthly invoice for any unpaid balance that must be paid by their next session.
* We are unable to bill Medicaid, Medicare, Cigna and Premera/Blue Cross.
​
Cancellation and No Show Policy
If a scheduled appointment must be cancelled or rescheduled, clients must provide 24 hour notice or clients will be charged a cancellation fee. Any emergency or unforeseeable situation will be considered on a case by case basis.
Other Services
Anger Management
Sometimes an individual is not appropriate for our full program and is only in need of anger management skills. These clients do not have histories of domestic violence and/or child abuse; either perpetrated or experienced. The decision as to whom is appropriate for Anger Management is made by the clinician.
Behavioral Risk Assessments
Behavioral Risk Assessments include client interviews, collection of collateral information, interviews of other involved persons, a survey of criminal and civil cases involving the client, review of any related mental health records or other assessments, and whatever other information may be pertinent to defining the situation, helping to determine how the client got to where they are now, assess the behaviors, and make treatment recommendations. This information is generated into a report.
​
Expert Witness Testimony
At times this office is asked to provide expert witness testimony regarding domestic violence, DV offender treatment, the effects of DV on the victim(s), and DV programs. Additionally, there are times we have provided expert witness testimony on ADHD and working with individuals with ADHD and/or Sensory Processing Issues.
​
Internships/Practicums
We have partnerships with University of Alaska Fairbanks, University of Alaska Anchorage, Boston University, Humboldt State University, Portland State University, Boise State University and University of New England. If you are interested in doing an internship or practicum with us, please submit a resume with a letter of intent and we will interview you. We typically have two interns at a time.
​
Most Important Client Info. Form
Adult Intake and Financial Info. Form
Child Intake and Financial Info. Form
Basic Release of Information
LEAP Group Intake From
TESTIMONIALS
*********
This program helped me change my life. I've realized what I needed to change and was able to get the support and education I needed to change it. I respect myself now.
​
-FTA-LEAP client
******
I miss group. They guys I was with built up a lot of trust while we were talking about stuff we had nowhere else to talk about it. Once in awhile I run into guys in town I knew from group and we check in with each other. My life is better now.
​
-LEAP Group client
Fairbanks Therapy Associates
907.452.2473
fax: 907.452.6903
LEAP@LEAPFBKS.com
Contact us for an appointment.