Before We Meet:
Please download these forms. They are in PDF format and can be printed out.- Authorization to release
- Client Bill of Rights
- Contract
- Crisis Resource
- General Information
- Hippa (Privacy & Confidentiality)
Payment Information
My fee is $125.00 per 50 minute session.
I am a provider for Blue Cross Blue Shield, Health Partners, Medicare, Medical Assistance and Cigna.
I accept cash and checks if opting to private pay.
No-Show and Cancellation Policy
Unless there is an unavoidable emergency, failure to show for a scheduled appointment or cancellation with less than 24 hours notice, you will be charged a $25.00 fee. No-show and cancellation fees are not reimbursable or covered by insurance.