Forms

New clients please call (850) 361-8179 to discuss an appointment.  You will be emailed a secure link to access the client portal and complete the ‘New Client Information’, and ‘Services and Informed Consent for Counseling’ forms.  This information helps me get started, and informs you about important rights, including confidentiality.  These will be reviewed in session.

If you do not wish to use the secure portal, or do not have access to email, paper copies of these forms can be mailed, or provided prior to the session.

Please complete the forms prior to the first session.

Insurance

  • Florida Blue, Blue Cross Blue Shield
  • Florida Medicare Part B
  • Employee Assistance Programs.
  • Florida Vocational Rehabilitation
  • Out-of-Network

Clients should check with their insurance provider to verify benefits and payment responsibilities.  I may be able to help verify benefits with providers I am contracted with.

Out-of-network insurance benefits may allow the insurance company to reimburse a portion of the fees. If these benefits for counseling are available, documentation to submit for reimbursement can be provided.  It is the client’s responsibility to verify the availability of Out-of-Network benefits, and submit for reimbursement.

Fees

Insurance may cover some, or all of the fee.

Intake session, 55 minutes, $120
Psychotherapy, 55 minutes, $100

Payment is due in session. Cash, check, Visa, Master Card, and HSA are accepted forms of payment.

Please ask about fees for other services, including: court appearance and preparation, letter writing, and external consultation.