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"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

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Fairbanks Therapy Associates
 

907.452.2473
fax: 907.452.6903
LEAP@LEAPFBKS.com

 

                           

                                                                                                         

 

Appointments are necessary for a meeting with staff.

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Services for all areas:

We provide individual therapy as well as our State-Approved Alternatives to Violence program to residents in Rural ares via HIPPA compliant telehealth.

Please go to Forms and Getting Started for PDF fillable paperwork.

You can also email us at: LEAP@LEAPFbks.com

 

If you are trying to enroll in the LEAP program, please read this thoroughly

 

Details:

  • LEAP is a State-Approved Alternatives to Violence program. Also sometimes called a batterer’s intervention program (BIP). It fulfills the requirements for the Alaska Court System, Department of Corrections, Westlaw presumption (custody), etc. If you are in another state, make sure that your state accepts Alaska’s approved programs.

 

  • The program is 36 weeks long. It is not going to be shortened so someone can finish faster. Making changes and learning new skills takes some time.

 

  • Groups meet once a week and you must attend every week via confidential HIPPA compliant telehealth. Men’s group and Women’s group meet separately.

 

  • In order to participate, you must have a secure and consistent internet connection and

  • an email with your name in the email address.

 

Enrolling:

  • The process of getting enrolled is as follows:

  • This includes reading privacy and financial information and initializing policy information, signing releases of information.

  • The paperwork is PDF fillable. This means you can save it to your device, fill it out and then email it back to us at LEAP@LEAPFbks.com.

  • If you want to print it out and then complete it, then scan it with a smart phone and email it back to us.

  • PLEASE DO NOT email screenshots to us. They take up too much memory. Any smart phone has the ability to scan documents under the Files section of the phone.

 

  • What to email to us: fully completed intake paperwork, signed releases of information, payment information, any type of referral information you may have from an agency, the courts, as a result of a DVRO – if you have been recommended.

Costs:

  • As a courtesy we can bill most insurances.

  • We CANNOT bill Medicare/caid, Cigna or Premera Blue Cross (who demands access to treatment records that are protected by HIPPA).

  • The client is responsible for all costs remaining after insurance has been billed.

  • If you have been referred by OCS or another agency that will paying for your program then we MUST have a purchase authorization (PA) before we are able to set up an appointment. Your caseworker can email the purchase authorization to our email address.

    • If you are paying out of pocket, we have a prompt pay discount. Payments can be made on our website at: www.FTALEAPFbks.com.

 

Getting Started:

  •  After we have received all of your paperwork, signatures, and payment information, we will call you to set up an intake appointment. We will email you a link to the secure connection so we can meet with you online.

  • After the intake appointment, you will attend one orientation session. After you have finished orientation and your account is fully paid, you can come into group. We will email you links to the groups.

Fairbanks Therapy Associates - Home of the LEAP program​

907-452-2473 f: 907-452-6903

PO Box 82842 Fairbanks, AK 99708

LEAP@LEAPFbks.com


 

Confidentiality Information

Copyright 2023. Fairbanks Therapy Associates, Home of the LEAP program. All Rights Reserved.
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