Forms To Fill Out Prior To The First Appointment
Click the links below for the initial visit paperwork.
Authorization For Release of Information (hard copies at my office)
When you set up a new appointment with me, you can register as a new client via Therapy Appointment, an electronic record keeping system certified by ONC-ACB accordance with the applicable certification criteria adopted by the Secretary of the US Department of Health and Human Services.
(This just means that your information is very safe, just like any of the electronic records at your primary care physician’s office).
Once you sign in to your client portal, there will be further instructions with specific forms to fill out prior to our first appointment.
Also, prior to our first appointment, please bring all records from any other medical providers, school testing, IEP plans, 504 Plans, or any other records you think will help me better understand you or your child/adolescent’s situation.
Initial Intake Session: $180
Individual Psychotherapy Session, 60 minutes: $140
Individual Psychotherapy Session, 45-50 minutes: $120
Family Therapy Session: $150
I am an in-network provider for Blue Cross Blue Shield PPO, Cigna, Value Options and United Behavioral Health/Optum Health, so your fees will be according to your insurance plans in those cases.
**Please note: for out of network clients, I will check on your out of network benefits. You’ll be surprised, in many cases, to see how affordable these benefits can be.
Forms of Payment Accepted
Cash, Check, Credit/Debit Card