Fees & Policies

Fees

Fees are $150/hr. Payment is required in advance or at the time of the session. Payment must be made online via the Payments Page

Policies (Informed Consent)

Full Policy can be accessed below. This policy must be agreed to prior to your first session. Please download & submit the “Informed Consent” Form under “Forms”.

Forms

Below you will find forms which can be downloaded and completed in one of two ways:

Standard PDF forms can be printed and filled out manually. To submit, please scan the completed form and submit via the form at the bottom of the page or on Document Submissions Page.

Digital PDF Forms can be opened in Adobe Reader and filled out. Once completed, save the form and submit via the form at the bottom of the page or on Document Submissions Page.

Client Information (Print/View)

Client Information form PDF

Informed Consent (Print/View)

Informed Consent form PDF

Release Information (Print/View)

Release Information form PDF

Client Information (Digital Form)

Client Information form PDF – Open and fill out in Adobe Reader.

Informed Consent (Digital Form)

Informed consent form PDF – Open and fill out in Adobe Reader.

Release Information (Digital Form)

Release Information form PDF – Open and fill out in Adobe Reader.

File Submission

Files are kept digitally on a password protected program & will be deleted after 10 years once therapy is discontinued.

File Submission
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Drop a file here or click to upload Choose File
Maximum upload size: 8.39MB