Rates, Policies, and Forms

Rates

My regular fee is $200 for a 50 minute counseling session. I am an out of network provider for all insurance plans that offer out of network benefits. I can provide you with a detailed invoice (superbill) and you can seek out of network reimbursement through your insurance company.

I also have some reduced fee slots available for college students, and clients who would experience a financial hardship by paying my full fee. I believe counseling should be affordable for everyone, and I will try my best to accommodate you. Please call me to discuss your individual situation. Payment is required at the time of session by cash, check, or credit card. I can provide monthly invoices for established clients. You can also use an HSA (Health Savings Account) to pay for counseling.

I always offer a complimentary phone consultation to discuss your reason(s) for seeking counseling, fees, scheduling, and to answer any questions you may have.

No-Show and Cancellation Policy

I have a 24 hour cancellation policy. Unless there is an unavoidable emergency, you need to cancel within 24 hours of your appointment. If you do not cancel within 24 hours you will be charged the full fee of the session.

Working with Insurance

If you have out of network benefits, I can provide you with a detailed invoice for services, and you can seek out of network reimbursement from your insurance company. As a general rule, insurance companies will only pay for therapy if there is a diagnosable clinical condition (i.e., Major Depressive Disorder, Generalized Anxiety Disorder, ADHD, Post Traumatic Stress Disorder, etc.). If you plan to seek reimbursement from your insurance, I recommend calling your insurance provider and asking them the following:

  • “Do you require pre-authorization for me to obtain behavioral health services/counseling from an out of network Licensed Marriage and Family Therapist?”
  • “What is my deductible for an out of network provider?”
  • “What are your reimbursement rates for an out of network provider?”

If you are not seeking reimbursement from your insurance company, you do not have to meet the clinical criteria for a diagnosis to receive counseling services, you have more flexibility regarding what you want to work on during our counseling sessions, and you have more options regarding the frequency and duration of counseling services.

Privacy Laws and Counseling

Regardless of whether you use insurance, your personal health information and counseling/therapy records are protected by strict State and Federal Privacy Laws. All mental health providers, such as myself, are legally and ethically required to abide by the laws of confidentiality.

Paperwork

Here are the forms you can download and fill out before your first appointment.  If you do not complete them prior to our session, they need to be completed during our session.

Informed Consent Form ConsentForm19

DEMOGRAPHIC INFORMATION FORM ADULT

DEMOGRAPHIC INFORMATION CHILD

EMAIL AUTHORIZATION FORM