Please print and fill out the appropriate forms before your scheduled appointment to help me better assist you. Everyone needs to fill out the Confidentially and Consent Form and the Adult-Client Information Form. If minors will be participating in therapy you need to fill out the Confidentially and Consent Form, Minor Consent Form, Adult Client Information form and the Minor Information Form. If you will ever need to utilize Teletherapy, please fill out the Teletherapy-information and Consent form. You will need to bring these forms with you to our first session, or you may email them to kyle@kylefamilytherapy.com. I will also need a divorce decree copy for any minors who will be participating in therapy whose parents have gone through a divorce and have a custody agreement.  

Teletherapy Information and Consent Form

Adult Information Form

Adult Consent Form

Minor Consent Form

Minor Information Form

Insurance
Kyle Jankowski is in a network for several insurance plans including: Aetna, Blue Cross Blue Shield, Cenpatico, Chip, Community First, Compsych, Humana, Medicaid, Superior, Traditional Medicaid, and Tricare.
He also accepts Private Pay and his current fee is $130 per session.