Forms

Please review and complete all new client forms provided below prior to the first session.

Hippa Form

Counseling Agreement

New Adult Intake Form

New Adolescent Intake Form

Fees

Individual and Family Therapy: $195 per 50 minute session, payable at the time of service.

Parent Coaching: $150 per 50 minute session, payable at the time of service.

I accept cash, check, or credit card and fees are due at the time of service. Although I am not an in-network provider with any insurance companies, I can provide you with a statement to submit to your insurance for reimbursement. Whether you are eligible for reimbursement, and for how much, will depend on your insurance provider and plan.