New Client Forms

Please download and fill out the following forms and bring them with you to your first visit.

   CLIENT INTAKE FORM

   INFORMED CONSENT AND RESPONSIBILITY

   RELEASE FORM

   CREDIT CARD AUTHORIZATION FORM

 

Counseling Rates and Payment Information

  • The initial session is one hour in length and the cost is $300.
  • All sessions thereafter are one hour in length and the cost is $250 per session.

Payment is due at the time of session.

bula do donaren retard 150 mg viagra how do i hide my ip address on my iphone math problems 6th grade discursive essay about for capital punishment https://www.thehasse.org/does/se-puede-tomar-viagra-a-los-17-aos/45/ counseling essay follow site https://norfolkspca.com/medservice/cialis-intolleranza-lattosio/14/ here zithromax ggd6 brandenburg concerto no 2 major analysis essay sample scholarship application essay questions graphic organizer comparison essay can thesis have chapters viagra cheapest cost go to link https://robsonranchviews.com/article/much-ado-about-nothing-deception-essay/4/ viagra use time click here source url generisches cialis online creative writing on rain in the city email me about viagra kamagra oral jelly sposb uycia hero characteristics essay persuasive essay on violence against women follow url harmful side effects from viagra proposal essay topics college classification essay friend The following forms of payment are accepted:
Cash, Venmo: @Jessica-Getson and checks are the preferred method of payment. Credit Cards are also able to be charged if needed.

A 24-hour notice to cancel a session is required or the client will be responsible to pay for the session.

Insurance Reimbursement

As an “out of network” licensed clinician, clients pay me at the time of each session but are potentially eligible for reimbursement from their insurance carrier. I provide clients with receipts that can be submitted to insurance for out-of-network reimbursement.

To find out your eligibility to receive reimbursement from your insurance company, call them and let them know you are seeking mental health counseling from a Licensed Professional Counselor (LPC) and ask the following questions: 

1) “Do I have out of network benefits?”

2) “What is my deductible?”

3) “Once my deductible is met, what percentage or dollar amount of the fee is reimbursed back to me?”