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: $125

50 minute Couples Counseling Session: $150

 

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.

 

KATE SPROUL COUNSELING  & PSYCHOTHERAPY 

120 Cedar Ave, Snohomish WA 98290  |  425 298 7682