CLIENT FORMS & PAYMENT

 

 

For your convenience, all forms are downloadable here.  Many prefer to fill them out in the comfort and privacy of their home as they are fairly comprehensive. Please fill them out and bring them with you to your first appointment, this allows us to spend the session time more efficiently.

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                                                                                               OFFICE POLICIES               

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                                                                                               BIOGRAPHICAL INFORMATION

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                                                                                               INFORMED CONSENT

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                                                                                               AUTHORIZATION TO RELEASE INFORMATION

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                                                                                               CONSENT FOR TREATMENT OF MINORS

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PAYMENT

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Payment is due at the time of your appointment.  I accept cash and credit cards in the office.  If you prefer to pay for your session prior to your scheduled appointment we will make arrangements for that once you have been accepted as a client.  If you wish to use your health insurance for Psychotherapy, please check with your insurance provider as to whether your plan offers out-of-network Mental Health benefits as I do not accept insurance.  I can provide you with the receipts you will need to file for reimbursement on your own from your insurance company.  The amount you will be reimbursed will depend on your insurance plan (usually ranging from 40-90%.)  Some clients, due to concerns about privacy regarding their mental health records, choose to privately pay rather than utilize their out-of-network insurance benefits.