LETTER TO CURRENT CLIENTS

Dear Clients,


Out of an abundance of caution and our strong commitment to meeting the needs of our clients (inclusive of your safety and ours), for the near and foreseeable future, we will be providing alternative counseling formats where appropriate (via Telehealth) to alleviate the need for in-person contact.  Therefore, please be assured that we will be contacting you over the next few days to check-in and to collaborate in determining the most appropriate format that meet your needs. 


In the meantime, it will be helpful and necessary to obtain your consent for the various Telehealth formats.  Please see below.


Thanks so much. We look forward to 'seeing' you soon!


Best regards,


Penny Siegmann, LCSW-R 

Owner

Counseling Services of Long Island, LCSW PC


CONSENT FORM

Please 

Review, Sign & Return: 

via Confidential Fax (516-804-0448), 

Mail (54 Chicago Ave, Massapequa NY 11758), 

or Drop-Off to the Massapequa office. 

(If drop-off, please slide under the inside office door in a sealed envelope. Please do NOT leave it in the Waiting Room.)



Consent for Telehealth Coun​seling

Click Here


PAYMENT OPTIONS FOR TELEHEALTH

For your convenience, we've streamlined session fee/copayment options

to include the use of the following services...


IvyPay 

(Credit Card/HSA/FSA):

​www.TalkToIvy.com


Ivy Pay is a smart phone-based payment system designed to be used with your credit card, HSA or FSA card. Stays on file for future payments. Free and easy.


("HIPAA-secure")



Zelle Pay

(ATM/Debit):

www.ZellePay.com

For Penny Siegmann: Code 5165286712

For Ken Beiner: Code 5169988350

"Zelle is a free and easy way to send money directly between almost any U.S. bank accounts."


***This option is only for clients NOT using Health Insurance Plans***


("Not HIPAA Compliant")


Mail a Check:

You may mail a check to: 

54 Chicago Avenue

Massapequa, NY 11758