Forms/Insurance

Please click on the links below. Download or Save the PDF file to your computer. Fill in the information and save the file. Please Email, Fax or Print the file and return to our office. Email to send to is: aurorafcc@msn.com

Below is a list of the insurance carriers we accept.

Please fill in this form and bring it with you on your first visit
Aurora Client Information Form PDF

Please fill in this form and bring it with you on your first visit
Aurora Privacy Consent Form PDF

Please fill in this form and bring it with you on your first visit
Aurora Informed Consent Form PDF

If you need to cancel your appointment or you missed your appointment, please fill in these form and return it to Aurora Family Counseling.
Aurora Cancelation and Missed Appointment Form PDF

If you are requesting the treatment of a minor, please fill in these form and return it to Aurora Family Counseling.
Aurora Treatment of a Minor Form

IEHP

MHN PPO/HMO

Aetna PPO

Tricare

WPS-Veterans

Holeman Group

Anthem Blue Cross

Anthem EAP

HBA

Magellan EAP

Blue Shield HMO/PPO (MHSA)

Blue Shield (of California)