The Federal “No Surprises Act” took effect January 1, 2022. All healthcare providers are required to notify clients of their Federal rights and protections against “surprise billing.” To learn more about the “No Surprises Act” and our responsibilities to you, click the image!

Welcome!

Brenda Danielson, Psy. D., LCP, works with adults across the lifespan with a specialty in women’s mental health, trauma, grief and loss, and co-occurring disorders. She is certified in several evidence-based therapies including CPT, CBT, CBT-I and ROSES. Call to make an appointment: 888-261-2178

Dr. Brenda Danielson brings over 10 years of experience as a Licensed Clinical Psychologist to BBHW. Dr. Danielson addresses a broad spectrum of issues ranging from substance use and abuse, chronic pain, insomnia, PTSD and trauma to gender dysphoria and multiple co-occurring discorders.

Teletherapy

In our continuing effort to be socially responsible to stop the spread of the coronavirus, BBHW is offering phone & video teletherapy sessions during the pandemic. If you think you may benefit from teletherapy sessions please call: 888-261-2178

The No Surprises Act

If you are an existing client, or new to the practice, please download the following three (3) forms, fill them in, and return them to Barrington Behavioral Health and Wellness prior to your next appointment.

No Surprises Letter

Download this letter to learn our responsibilty to you under the No Surprises Act.

Good Faith Estimate

Brenda Danielson, Psy. D., LCP, works with adults across the lifespan with a specialty in women’s mental health, trauma, grief and loss, and co-occurring disorders. She is certified in several evidence-based therapies including CPT, CBT, CBT-I and ROSES. Call to make an appointment: 888-261-2178

Download this form for your reference and your therapist will discuss this with you.

Estimate Fee Schedule

Download this reference table of fees for service. Number of sessions TBD with your clinician.

Private Pay Contract

If you intend to pay “Out Of Pocket” (fee for service), download this form and complete it and remit it to BBHW prior to your next appointment.

If you are a new or existing client and have questions regarding the “No Surprises Act” you may, please call or email Barrington Behavioral Health & Wellness.

Phone: 1-888-261-2178
Email: help@barringtonbhw.com

Good Faith Estimate

Download this form for your reference and your therapist will discuss this with you.

Good Faith Estimate

Download this form for your reference and your therapist will discuss this with you.

Good Faith Estimate Fee Schedule

Download this reference table of fees for service. Number of sessions TBD with your clinician.

Private Pay Financial Contract

If you are a “fee for service” or intend to pay “Out Of Pocket”, download this form and complete it and remit it to BBHW prior to your next appointment.

Good Faith Estimate

Download this form for your reference and your therapist will discuss this with you.

Good Faith Estimate

Download this form for your reference and your therapist will discuss this with you.

Good Faith Estimate Fee Schedule

Download this reference table of fees for service. Number of sessions TBD with your clinician.

Private Pay Financial Contract

If you are a “fee for service” or intend to pay “Out Of Pocket”, download this form and complete it and remit it to BBHW prior to your next appointment.

Good Faith Estimate Fee Schedule

Download this reference table of fees for service. Number of sessions TBD with your clinician.

Private Pay Financial Contract

If you are a “fee for service” or intend to pay “Out Of Pocket”, download this form and complete it and remit it to BBHW prior to your next appointment.

General Intake

All clients must fill out this form and bring it with them to their first appointment.

Link to Barrington Behavioral Health and Wellness General Intake Questionnaire
Child & Adolescent Intake

If bringing a minor, please fill out this form and bring it to the first appointment.

Link to Barrington Behavioral Health and Wellness General Intake Questionnaire
Consent for Treatment

All clients must fill out this form and bring it with them to their first appointment.

Payment Authorization

All clients must fill out this form and bring it with them to their first appointment.

BBHW Credit Card Authorization Form
HIPAA Notification

Your rights under the Health Information Portability and Accountability Act

This document is for you information and outlines your rights and BBHW's responsibilities in regard to HIPAA and your privacy.
Handy ‘Zip’ File

All the Child and Adolescent forms in one ‘zip’ file!