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BEHAVIORAL HEALTH

More Smiles Wisconsin provides individual therapy to patients who may struggle to find mental health care due to income, type of insurance, or lack of insurance. Take a look below to see if you are eligible. If you have questions about our behavioral health program please call 608-665-2752. We offer individual therapy to those struggling with: 

  • Anxiety

  • Depression

  • Stress due to family, work, parenting, etc.

  • Relationship issues

  • PTSD

MSW therapy room
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PATIENT APPLICATION

In order to be considered for More Smiles Wisconsin's Behavioral Health Program, we need to collect information about your income and household size, as well as issues you may be struggling with.

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  • We currently accept some forms of Medicaid (Forward Health) insurance. 

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  • If you have no insurance, your income must be at or below 200% of the Federal Poverty Level for your family size. See below for our sliding fee scale for therapy services.

 

If you are are accepted into our Behavioral Health Program, you will be required to provide proof of income at the time of your intake appointment. ​​

 

At this time we are NOT accepting clients whose primary mental health concerns are:

Alcohol use, drug use, bipolar disorder, schizophrenia, or schizoaffective disorder

 

We do NOT offer:

After hours crisis support, psychiatric prescribing, therapy for children or youth

APPOINTMENTS

Once you have filled out the New Client Screener, our Behavioral Health Program coordinator will get back to you within 2 business days. 

 

If you are accepted in our Behavioral Health program you will need to submit one of the following proof of income documents before or at your Intake appointment. 

  • Pay stub from employer

  • Social Security statement

  • Unemployment/Worker’s Compensation statement

  • Most recent tax return (1040)

  • Child support statement

 

*If you are not eligible for mental health services at More Smiles, and you are interested in being provided with resources to assist you with finding another provider, please email contact@moresmileswi.org.

FEES FOR THERAPY

Out-of-pocket costs are due at time of  appointment. This includes co-pays associated with certain Medicaid plans. We accept cash and debit/credit card payments.

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If you are uninsured, we offer a sliding fee scale for therapy services as follows:

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PATIENT RULES AND POLICIES

  • I understand that it is my responsibility to clarify if I have co-pays and balances prior to appointments.

  • I understand that co-pays are due at the time of service unless other payment arrangements have been made in advance with MSW staff.

  • I understand that if my insurance denies my coverage, I am responsible for the full costs of the treatment I received (will receive) at MSW as determined by sliding scale fees.

  • I understand that I am responsible for reporting phone number or address changes to MSW staff.

  • I understand that if I fail twice to show up to appointments without 24-hour notice to MSW, I will be discharged from the program and cannot reapply for one year.

  • I understand that if I fail to keep an appointment due to an emergency, I can bring in appropriate documentation which will keep me admitted in the program.

  • I understand that if I arrive more than 10 minutes late for an appointment without notifying MSW staff, my appointment will be marked as missed/failed and I may not be seen that day.

  • I understand that I must conduct myself in a civil and respectful manner to MSW volunteers and staff. If I do not, I will be asked to leave the clinic and permanently discharged from the program.

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