OFFICE INFORMATION 

Fees & Forms:

Fee:

My fee is $95 per 50 minute session and payable by cash, check or credit card.

I am a preferred provider with a limited number of health insurance plans and accept out-of-network reimbursement rates for many others. Depending on your coverage, your work with me may be covered in full or there may be a co-pay. I am happy to complete all required documents in order for you to receive reimbursement by your insurance carrier. Many insurance companies offer the option of reimbursement with out-of-network providers. I also have a few sliding scale fee slots.

Feel free to contact me with any questions. I am happy to provide a free phone consultation.

New Client Forms:

If you have made an initial appointment with me and wish to plan ahead, you may read and complete these forms ahead of time and bring them to our first meeting. Otherwise, please arrive 10-15 minutes early to your first appointment to allow time for this.

Disclosure form

Please sign and bring to your first appointment

Notice of Privacy Practices

This document outlines my privacy policy in accordance with HIPAA regulations as it applies to counseling. It is here for you to review. You only need to bring the signed form advising that you have received a copy. You may also request a paper copy from me in person if you wish. I welcome any questions you may have.

Client Information Form

I look forward to meeting with you ~ Diane