Fees, Forms, & Insurance

Private Pay
50 minute session $125

75 minute session $165
(applicable to some Art Therapy & EMDR)

please inquire for most updated insurance affiliations.

Complete Intake Packets

child_new_intake_packet_fill.pdf
File Size:	546 kb
File Type:	pdf

Download File

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adult_new_intake_packet_fill.pdf
File Size:	527 kb
File Type:	pdf

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Individual Paperwork Items

client_contact_info_fill.pdf
File Size:	305 kb
File Type:	pdf

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art_release_form_fill.pdf
File Size:	304 kb
File Type:	pdf

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policies_and_procedures_fill.pdf
File Size:	335 kb
File Type:	pdf

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minor-_child_intake_fill.pdf
File Size:	364 kb
File Type:	pdf

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disclosure_statement-_informed_consent_fill.pdf
File Size:	327 kb
File Type:	pdf

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cc_payment_consent_form_fill.pdf
File Size:	311 kb
File Type:	pdf

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release_of_information_fill.pdf
File Size:	303 kb
File Type:	pdf

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assignment_of_benefits_fill.pdf
File Size:	289 kb
File Type:	pdf

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notice_of_privacy_policies_and_practices_fill.pdf
File Size:	367 kb
File Type:	pdf

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consent_for_communication_of_phi_by_unsecure_transmissions_fill.pdf
File Size:	68 kb
File Type:	pdf

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