Intake Form

Please fill out the intake form below and email it before your first appointment.

INTAKE FORM
Book a consultation

Session Costs:

Beyond 60 minutes, sessions will be prorated in 15 minute increments

Some Insurance companies are in-network and costs will be adjusted per contracted rate.

I am currently In Network with Medicare, BCBS, Aetna, United Healthcare, Triwest and Optum.

Below are my hourly rates outside of insurance, with sliding scale if necessary.

Individual/Couples - 60 minutes

$150

Individual/Couples - 90 minutes

$225

Fees

No Show Fee

Charged for full appointment time

Not showing up for a scheduled appointment without at least 24 hour notice will result in being charged for the session.

Other Fees in Informed Consent Form

 Court fees and other are listed within the intake forms

Questions before getting started? Get in touch.