Client Forms

 

 

NEW CLIENT FORMS

Please print and complete the following forms before our first session.

Fees and insurance 

The fee for the first three initial assessments is $195 and for ongoing sessions is $130.  

I accept Blue Cross Blue Shield PPO.  If you are Out of Network I will provide you with the necessary receipts to be reimbursed by your insurance company. 

I know how frustrating and confusing insurance can be so I will be helpful in any way possible.

I accept Chase Quickpay, cash, check and credit card at the time of service.