New Client Forms
I will send the New Client paperwork via email through my TherapyNotes portal. The paperwork will be filled out on-line. I use a HIPAA compliant portal to manage my client’s information and documents. These documents cover issues such as privacy, consent and clinical disclosure.
Client Intake Form
Informed Consent
Cost - Quick Reference
FEES and PAYMENT AGREEMENT and OFFICE POLICIES
Counseling sessions are 50 minutes. Payment is due at the beginning of your appointment. Cash, checks and Venmo are accepted.
Fee Schedule
Intake Interview………………………….……$150.00 Couple.…$200.00
Full Session……………………………….………$150.00 Couple.…$200.00
Brief Session (30 Minutes....................$75.00
No Show/ Late Cancellation................$150.00 Couple.…$200.00
SERVICES NOT BILLABLE TO INSURANCE (BILLED DIRECTLY)
If you have questions about the forms or their content, please feel free to contact me and I can explain the purpose and importance of the forms.
