Forms

Client Information Form (Required)

Clinician Disclosure Form (Required)

HIPPA Form (Required)

Obtaining Insurance Information (Required)

** NOTE: All of these forms must be entirely filled out in order for the first session to proceed.  Please bring these forms with you to your first appointment. **

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Fees

​Session fees are as follows: $165 for a 60 minute session.   I currently accept cash, check, or major credit and debit cards.

I accept Aetna, Blue Cross Blue Shield, United, and Humana insurance plans.
Call your insurance company to inquire about your benefits before our first session.  If your insurance is not accepted, you can ask your insurance company to do a single case agreement for payment of services or I can provide you with a receipt to submit to your insurance company for reimbursement for out of network benefits.  

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