Adult Client Intake Form

Child Information Form

Cancellation Form

Client Information Form 


Fees

15 minute phone consultations are free. Our rate is $75 for a 50 minute session. Credit cards, debit cards,  cash , PayPal and Google Wallet are acceptable forms of payment. Receipts are given for fees paid. We accept Aetna, Beacon and Cigna Insurances Plans.


Cancellation Policy

Sometimes you may not be able to keep your appointment. Letting me know in advance will allow me to schedule someone else during that time slot. If you are unable to keep your appointment please call or email the office within 24 hours of your appointment. You will be charged a $50 cancellation fee for an appointment not canceled within 24 hours.