Forms & Fees

better green.png

You're in great hands

Before you start I will ask you to fill out some intake forms so I can understand your health and background better. You may use the digital intake form which will take ± 10 minutes of your time. Please fill out before your first visit.

Digital forms:


If you did not fill out the digital forms above:
Download the Intake Form for Individuals, and Group Therapy
Download the Intake Form for Family, Couples, and IMAGO

All Clients:
Download the Counseling Info & Therapy Agreement Form

Print & bring your intake form & therapy agreement with you.

 

Rates:

As a therapist, I strive to work collaboratively with my clients. I provide psychotherapy on a ‘fee for service’ basis. This means, as an 'out-of-network' provider, that I do not accept any insurance as 'direct payment'. My standard fee's are:

  • 45 minute Individual Therapy: $250

  • 45 minute Couples or Family Therapy: $300

  • 90 minute IMAGO Therapy: $450

  • 90 minute Group Therapy: $60 per person

I accept checks, cash and VENMO for payment.

Additionally, folks with an FSA (Flex Spending Account) or an HSA (Health Savings Account) can use that for psychotherapy expenses.

Currently, I have daytime only (before 5pm) availability with some time limited sliding scale fee base on your finances.

In addition, I have other colleagues that I can recommend who may have more flexibility in their fee structure as well as evening availability.

For patients who have out-of-network insurance benefits, I generate a bill/receipt which they may submit to their insurance company for reimbursement—please see pdf below with insurance questions to review about your specific policy.

 

Accepted Insurance:

As an LCSW-R (Licensed Clinical Social Worker with an "R" credential) my credentials can be used for 'reimbursement' with any insurance plan that covers mental health and has 'out of network' benefits.

 

Have any questions?
Use this form to get in touch.

Name *
Name
Phone *
Phone