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Eclectic Cognitive Behavioral Center
COMPREHENSIVE BEHAVIORAL HEALTH CARE
FOR CHILDREN AND ADULTS
Renewing Minds & Transforming Lives
Louisiana ~ Mississippi ~ Texas
APPOINTMENT / SERVICE DEPOSIT:
Appointment and Service Fees must be secured with a Credit Card Authorization for charges not covered by EAP/Insurance (co-pays, missed/canceled appointments, outstanding balances); or claims denied/rejected by Insurance/third Party Payer. The Credit Card Authorization will only be proceeded if the client fails to appear for a scheduled appointment (No Show), cancels or reschedules an appointment without a 24-hour cancellation notice, or when a claim is denied, rejected, or not covered. EFFECTIVE January 2023
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Brain MH
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REGISTRATIION OPTION:
1) Complete and Submit online Registration Form with Credit Card Information
2) Complete and Submit online Registration Form and pay online by pressing the Pay Now button >
3) Click here and Download General Registration Form, complete and submit via email or fax
SAVE $15 on Pre-Registration or by enrolling in 2 or more courses!
Agency Registration: $10 off each Registration plus travel - minimum 10 Registrations.
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