I do strive to maximize your sense of comfort and trust in these services. The links used on this website will take you to a HIPAA compliant forms portal which provides an easy way to safely and security exchange sensitive information. I do always appreciate any suggestions and feed back you may have.

Appointment Inquiry / Wait List Form

Please click the link below to be added to the waitlist.

The volume of inquiries is often such that I am unable to respond. I do apologize. I will contact you when a slot opens up that fits into your workable times as you indicate on the form. Wait list times vary. Keep in mind that evening appointment times are in highest demand and result in longer wait times.

appointment inquiry / Wait List Form: Click here

Paying out of pocket

RATES:

Initial assessment $125

Family 50 minute session $125

Individual 50 minute session $125

Marathon extended sessions, prorated.

please call your insurance once you have an appointment.

If you are planning on using your medical insurance please call your insurance BEFORE scheduling your 1st appointment.

This call will verify if your policy covers these services and your estimated cost.

You are responsible for all service fees not covered by your insurance.

All the questions to ask in your Insurance carrier are listed in the Guidance below.

Click the link below to open and print the PDF document.

Have the completed form ready when you go to the 2nd link below to submit the information.

Insurance Call Guidance and Form (pdf)

Download

After you call your insurance company ....

.... please submit your insurance information through this secure link.

Click here to submit Insurance Information

required forms : before first APPOINTMENT

Disclosure forms

Please take your time in reviewing your rights as presented in these documents.
Both forms require a signature which is easily completed on a devise with a touch screen; tablet or cell phone.
If you would like to print a signed copy, click on "Pint" before you click on "Submit".

Click here to complete

Intake form

This form request demographic information and includes brief mood screenings .
The form does ask for names, phone and numbers of your other providers .
The form also ask you to list any medications that you are currently taking.
Clicking the link below will take you to a secure HIPAA compliant portal.
Simply answer the questions .
The red stars items are required and must be completed.
When you answered all the questions just click on "submit" at the bottom of the page. Thank you.