Forms and Fees

Forms

Most information pertaining to my practice policies, including TeleMental Health, can be found by clicking on New Client Intake Forms below. If you schedule an appointment with me, I will send these forms to you via my secure Client Portal. However, you may also click the link below to read these forms in advance of scheduling your first appointment:

Fees

Initial intake assessment (60 min): $200

All subsequent sessions (45 min): $175

Please contact me to discuss fees for all other services.

Payments

Payment is requested at the time of your visit unless you have arranged otherwise prior to the appointment. Acceptable payment methods include checks, cash, credit cards, HSA cards, and Zelle. 

INSURANCE

Although insurance is not accepted at this time, I am happy to provide you with documentation (called a superbill) to submit to your insurance carrier for reimbursement. While every insurance company is different, most will reimburse 50-80% for an out-of-network provider once your annual out-of-pocket maximum has been met.  Please contact your insurance company to confirm their reimbursement schedule if you plan to use your insurance.

Call, email or send me a message.

OFFICE HOURS:

Monday - Thursday, 10am - 7pm

Friday - 10am - Noon

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