Averill Hovey, MA, LPC-S, ATR-BC, EMDR
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Fees, Forms, & Insurance

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

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

Individual Paperwork Items

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

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

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

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

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

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

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

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

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

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


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  • Home
  • About Me
  • The Work
  • Location & Contact
  • Current Clients
  • Perspective Clients
  • Educational Consultation
  • Supervision
  • Resources