Green House Group, P.A.

Psychological and Consultation Services

Waumbec Mill, 250 Commercial St., Ste. 3004
Manchester, NH  03101-1118  603-668-3050

To Our New Clients:
If you are a new client looking for more information or would like to set up an appointment with one of our clinical therapists, please call 603-668-3050 and leave a message on extension 10.  If you are requesting a specific clinical therapist, please choose that therapist's name in our clinical staff directory when calling.

In anticipation of your upcoming appointment at the Green House Group, PA, please accept our appreciation for selecting us.  We welcome the opportunity to assist you.

Thank you for taking a few minutes to review our office policies and financial policy prior to your meeting with your therapist.  We apologize for its length and details.  Federal and State law, as well as professional guidelines, requires us to ask this of you.

Please feel free to ask questions and share your concerns about any aspect of this information.  You may sign the forms upon your review at your initial meeting.

Prior to your first appointment, please print out our client registration form, fill it out and bring it with you to your first appointment.  Please call your insurance company (the telephone number will be listed on your card or within the plan documents you were given) to determine the following:

    Authorization Number (If no authorization is required by your plan they will let you know that.)

    Date range of Authorization

    # of Sessions Allowed

    Copay Amount $     Deductible Amount $

    Insurance Claims Mailing Address (Please note that frequently this is different from the address

    on your card for mental health coverage.)

If you do not obtain required authorizations, any sessions which occur without authorization will be your financial responsibility.


Green House Group, P.A.