Fees, Insurance and Forms

 

Fees

My fee is $150 for a 50 minute session. From time to time, a client is in need of a longer 75 minute session, which is $225. Payment is by cash, check, debit or credit card.

Insurance

I am not an in-network provider for any insurance companies, but I am covered by most insurance plans as an out-of-network provider. Be sure to check if your insurance plan does offer out of network coverage. If it does, you would pay the fee up front, and I will provide you with a bill for you to submit to your insurance company. Most insurance companies have an easy way for you to submit the bill online, after which they will send you a check for whatever part they owe.

Forms

 

Below are the forms you will need to read and fill out before your first appointment. You can download the forms here or (click on the file icon below, then go to your computer downloads file and click on the file to load it). Or, at your request, I can have the forms waiting for you in the waiting room at my office, in which case you would come to your first appointment 15 minutes early to allow you enough time to review and fill them out. You will need to sign the Therapist-Client Service Agreement in person at our first session. This form outlines your rights as a consumer, provides you with my license number, covers your rights to privacy and let's you know about my office policies, including the cancellation and no-show policies. You need only print and bring the signature page (the final page) if you've read the form in advance. The second form is the debit/credit card authorization form that you will fill out if you prefer to pay with a debit or credit card. Some people prefer cash or check in order to protect confidentiality. I'm happy to answer any questions about the forms at our first session.