Register

Registration is only required if you do not have a username. Please check your spam & junk mail folders to ensure you have not already received an email with a username and password. If you already have a username log in here

Each account must have a unique email address associated with it. Please contact us if you need multiple accounts with the same email address (i.e. related family members).

Client Information

/ Middle Initial

( optional )
 

( MM-DD-YYYY )







( for Text Message Reminders )

Bill To Contact

/ Middle Initial







Emergency Contact

First Name
Last Name
Phone
Mobile
Relation
Email

Log in Details

( If client is a minor, the legal guardian must enter their email address below. )



Between 8 and 40 letters and numbers

Challenge Questions

( These will be used to retrieve your password. Answers must be between 4 and 30 characters, cannot contain any spaces. )




( If you feel you must write down your questions in order to remember them, make sure to keep it in a safe place. )

Terms and Policy

No Show Policy
We do require a credit card on file for No Show fees and insurance issues. We provide many ways for you to avoid having to pay No Show fees by being able to cancel an appointment online, by e-mail, fax or voice mail. If someone No Shows, it hurts a person who may really have needed to get in to see the therapist and this is why we have this policy. One day this could be you!!!The No Show fee is $100 and will be billed automatically . If the card on file, does not go through, you will receive a phone call from our office as well as a bill. You have 30 days to pay the bill . However, if it is not paid, the bill along with a 60% collections fee will be sent to collections and 1.5 % interest will continue to accrue every month it is not paid.

We ask everyone to please be considerate and give the office 24 hours notice if you need to cancel an appointment. You can call 727-584-3600 to cancel or change an appointment, use the client portal here where you can also e-mail us that you need to change an appointment.
( Type Full Name )
financial policy/Insurance info
To get a list of the insurance/EAP 's that we accept
at Best Life Counseling and Coaching, please go to the INSURANCE
page of our web site at www.bestlifecounseling.com . Please
understand that when we provide you benefits, they are what
the insurance company has told us at at the time we call them.
However, if your policy changes, the insurance company will not
tell us and we rely on you to help us have the most current information.

You are responsible for anything that the insurance does not pay, so it benefits you to let us know any changes in your insurance. We truly appreciate your help with this. We require payment at time of services as this eliminates the need to bill you. This helps us avoid having to bill you or take collection measures which could allow risks to your privacy. We encourage you to contact us immediately if you are having financial problems so that a payment plan can be worked out.



AFFORDABLE RATES/ ON MANY INSURANCE PANELS
WE NOW ACCEPT CREDIT CARDS. We no longer accept checks, but do accept check cards, credit cards and cash. In addition, if you pre-pay for services, (only if you are self-pay and not using insurance)you can get a discount.However, we do not provide refunds if you pre-pay.
( Type Full Name )