Payment

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In order to provide the highest quality therapy service, I am not in network with any insurance companies.  However, some insurance plans (usually PPO or POS plans) will cover out of network services.  I am happy to talk with you about how to use your out of network insurance benefits to help cover psychotherapy with me.

A sliding scale is available.

If you're interested in learning more about the reasons I've chosen not to participate in insurance panels, you can read more here.

 

Forms

Below you'll find forms to bring to your first appointment. I also keep copies in my office that you can fill out if you aren't able to complete them beforehand.

The registration form asks for basic information about you and how to contact you. It also includes office policies and details on billing.

The release of information is an optional form that allows me to communicate with another provider, for example your primary care physician or someone who prescribes you medication. If you're interested in me being able to communicate with another provider you work with, we can discuss exactly what information you'd like me to share and under what circumstances.

The HIPAA notice contains information about the federal privacy law (HIPAA) which protects your personal information when you are working with me. You don't need to bring this with you but can keep it for your records.

Registration Form

Release of Information

HIPAA Notice

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Additional images courtesy of Pixabay