Client Forms

Welcome to High Plains Mental Health Center! If you are a new client, we are glad you’re here. For your convenience, all of the service forms and notices you need can be found here. Should you need assistance, call us anytime. Once we receive your paperwork, we will contact you by the phone number provided.

Contact Us

(785) 628-2871

Main Office

208 E. 7th St.
Hays, KS

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Crisis Hotline

(800) 432-0333

New Client Paperwork - Adult

Welcome! We’re glad you’re here. If you are 18 or older and are new to High Plains Mental Health Center, click the button to access fillable entry paperwork. You may print and bring this with you to your first appointment, or mail to us at 208 E. 7th, Hays, KS 67601. Forms can also be faxed to us at (785) 628-0330. We will contact you when we receive your paperwork. 

New Client Paperwork - Youth

Welcome! We’re glad you’re here. For new clients who are younger than 18, click the button to access fillable entry paperwork for youth. You may fill this out online, print and bring it with you to your first appointment, or mail to us at 208 E. 7th St., Hays, KS 67601. Forms can also be faxed to us at (785) 628-0330. We will contact you when we receive your paperwork.

Other Important Documents

Frequently Asked Questions

 

How do I schedule an appointment?

When you call the Center at (785) 628-2871, we will put you in touch with a mental health professional to help you get started.

What should I bring to my first appointment?

• Insurance card
• Verification of household income (W2s or last three pay stubs)
• Cost of any co-pays your insurance requires

If your insurance is provided through a family member, please have their Social Security number and date of birth available. We may not be able to access your insurance without this information.

Will insurance pay for services? How is billing done?

During your registration, you will be asked to provide information about insurance and income in order to determine your payment rate. Fees vary according to the services provided and are comparable to or lower than the cost of similar services in private agencies. High Plains is an approved provider for mental health services for many insurance providers. Our staff files claims to private insurers, Medicaid (Kansas), and Medicare. Clients without insurance may qualify for sliding scale fees based on income. Payment is expected at the time service is provided. Services are not denied based on ability to pay.

How do you verify insurance, so I know how much to pay?

Our staff is dedicated to make every effort to verify insurance benefits. However, what you will actually pay depends on your insurance policy fee. Most often we will not be able to get information regarding the fee from your insurance company prior to your visit. We highly encourage you to confirm that the High Plains Mental Health Center is “in-network” for your coverage and if not, does your policy cover “out-of-network” benefits for the High Plains Mental Health Center.

What is the policy for confidentiality?

Maintaining confidentiality is essential. Information you share with members of our staff will not be given to any other person without your written consent, or in special situations defined by law.

What can I expect when I call for services?

We understand anyone can experience mental health challenges at some point during their lives, and we will address your concerns without judgment — as the real health concerns they are. We will connect you with a therapist to get started, and you can expect an initial assessment. At your first appointment, our staff will work with you on reaching a diagnosis and setting recovery goals. We will then recommend a treatment plan and help you schedule future appointments as needed. Entry paperwork is required for new clients, including questions about the symptoms that are bothering you and family medical history. New clients are encouraged to come to their first appointment 30 minutes early for paperwork.

For secure, online access to your personal health care information, visit the Kansas Health Information Network. For assistance setting up your information portal, contact us at (785) 628-2871.

My experience was GREAT. I recommend High Plains Mental Health Center all the time.

- HPMHC Client

Call: 800-432-0333

208 E. 7th St., Hays, KS

Our Hours

Monday: 8 a.m. to 9 p.m.
Tuesday: 8 a.m. to 6 p.m.
Closed Saturday and Sunday