Fees and Forms

Fees

  • 50 minute psychotherapy session: $130.
  • 80 minute psychotherapy session: $200.
  • Longer session times are scheduled for couples and for individuals desiring more depth in traumatic stress resolution sessions.

Methods of Payment

Venmo, Google Wallet, check, and cash are accepted.

Insurance

I am a private pay therapist and am considered out-of-network for all plans.  Many insurance plans have some form of out-of-network mental health benefit coverage. Please call your specific insurance company to learn about your plan details and specific coverage. I will gladly provide a super bill to file for reimbursement from your insurance company.

Forms for New Clients to print and sign:

  1. Working Relationship Agreement 
  2. Intake Form

Please bring these two forms printed and completed to your first session.  If you would like me to print them for you, please let me know in advance and you can arrive 15 minutes before appointment time to complete in the waiting room.

Form for new clients to review

HIPAA Notice of Privacy/Rights and Responsibilities

Ready to talk? I’m ready to listen.

Call (512) 638-1917 or email Matthew@LitschiTherapy.com

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