Get in Touch:
Please contact me with questions or to schedule an initial appointment. To contact me, you may call, email or use the form below. I will respond within 24 hours.
Please fill out all the forms on this page prior to your first appointment and either scan/email them to email@example.com or print them and bring them with you to your first appointment.
- HIPPA NOTICE OF PRIVACY PRACTICES pdf
- INTAKE FORM pdf
- INFORMED CONSENT FOR RECEIVING PSYCHOTHERAPY pdf
For initial appointments, checks or cash are accepted, and due at the time of service.
To make a payment with your credit card, just click the 'Pay Now’ button below . You'll be taken to PayPal's Website, where you can complete the payment to me safely and securely. Please make each session payment before your appointment. You can also use your Paypal app and make your payment adding my email: firstname.lastname@example.org or I can swipe your credit card at the end of each session.
** If using a credit card to pay for your session, please add 3% for the processing fee.
Rates and Insurance
FEE: Please contact me for my current fee structure. Cash, check and credit cards are accepted for payment. Payment is due at the beginning of every session. Sessions are usually 50 or 75 minutes and are usually held once a week.
CANCELLATION POLICY: Once an appointment has been scheduled you will be expected to pay for it unless you provide 24 hours advance notice of cancellation.
INSURANCE: While I am not on any health insurance panels or accept insurance directly you may be able to get reimbursement for your sessions if you have coverage for “out-of-network” psychotherapy. Please check your coverage with your insurance company directly. Although payment is due in full at the beginning of each session, I am happy to submit electronic insurance claims monthly on your behalf or provide you with a superbill at the end of each month.