Fees & Forms


Individual therapy fees are $160 per 50-minute session, $200 per 75-minute session, and $240 per 90-minute session. Group & Workshop fees vary. I am an out-of-network provider and do not participate with any insurance panels. Cash, checks, and all major credit cards are accepted. Payment is due in full at time of service. Please contact me or view the Policies and Procedures document below for more information regarding fees.


Please complete the following forms and bring them to your first appointment.

All forms are required except for the Credit Card Authorization form (optional) and the Release of Information form. The release of information form is only necessary if you have a psychiatrist, doctor, school counselor, or other professional you would like your provider to communicate with about your treatment.

If you have any questions about completing the forms, please feel free to contact me.

Click to download: