Intake Form

Please fill out the intake form below and email or bring it with to your first appointment.

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.

Individual/Couples - 60 minutes

$125

Individual/Couples - 90 minutes

$187.50

Family - 2 hr

$250

Fees

No Show Fee

$50

Not showing up for a scheduled appointment without at least 24 hour notice will result in a $50 charge.

Other Fees in Informed Consent Form

 Court fees and other are listed within the intake forms

I am currently In Network with BCBS, Aetna, United Healthcare, Tricare and Optum. Please ask as other companies may be added.

Questions before getting started? Get in touch.