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:
- Working Relationship Agreement
- 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