FORMS & FEES

FORMS

Please complete the below paperwork prior to our initial meeting so that we can spend our time together focusing on what brings you to therapy.

CLIENT INTAKE FORM

PRACTITIONER DISCLOSURE STATEMENT

HIPAA NOTICE OF PRIVACY PRACTICE

FEES

50 minute Individual Counseling Session: $175

50 minute Couples Counseling Session: $200

 

On principle of upholding your privacy, I am not currently listed with any insurance providers. Some clients may be able to seek full or partial reimbursement by submitting an invoice to their insurance company. In order to accommodate those with financial need, I offer a limited number of reduced rate appointments. If you would like more information about this, please do not hesitate to ask.