Bloom Counseling & Wellness Sarah Santiago, MS, LPC
Bloom Counseling & Wellness
You deserve to find your perfect fit therapist. Want to learn a bit more about what to expect when working with me to ensure that I'm the right fit for you?
Exploring out of network (OON) insurance guide
Frequently Asked Questions
Learn more about working with me
Learn more about me
Press & speaking engagements
Important: This form must be completed by the individual seeking therapy. Please do not fill out this form on behalf of someone else.
*Eligibility: I understand services are available only to adults (18+) who are physically located in Michigan at the time of each virtual appointment.
*Services Not Provided:
I understand Sarah Santiago does not provide couples therapy, family therapy, or emotional support animal (ESA) letters. If these are requested, the appointment will end and I am still responsible for the $200 fee.
*Referrals:
I understand that at any point, Sarah Santiago may determine my needs are best supported by another provider. If this occurs, I am still responsible for payment of any sessions already completed.
*Insurance: I understand Sarah Santiago is out-of-network and does not bill insurance. I am responsible for verifying my insurance coverage and submitting any claims directly with my insurance.
*Fees: I understand the fee is $200 per 50-minute session, due at the time of service.
*Cancellations & Missed Appointments: I agree to give at least 24 hours notice to cancel or reschedule. I understand that late cancellations or missed appointments will be charged the full $200 session fee.
*Credit Card Requirement:
I understand that once my appointment request is approved, I must place a valid credit card on file within 24 hours to reserve my appointment. If I do not, my appointment will be cancelled.
*I authorize Sarah Santiago to charge my card for session fees, late cancellation fees, and missed appointment fees in accordance with this policy.
By submitting this form I confirm that I am submitting this form on behalf of myself, am at least 18+ years old.
After submitting this form, you'll be directed to my appointment calendar to schedule your first session. If you have any issues submitting this form or accessing my online booking calendar, please contact me at Sarah@BloomMqt.com