Forms for New Clients
Please complete, scan, and email me the completed forms at least two business days before our first scheduled appointment: [email protected] Thanks!
I have a 24-hour cancellation policy.
Please provide at least 24-hours’ notice to reschedule an appointment. If you must reschedule a Monday appointment, please contact me by 5p on the preceding Friday.
Insurance does not pay for late cancellations or missed appointments.
Insured clients are charged $75 for missed initial evaluations or those canceled with less than 24-hours’ notice and $50 for missed one hour therapy sessions or those canceled with less than 24-hours’ notice
Self-pay clients are charged $100 for missed initial evaluations or those canceled with less than 24-hours’ notice and our agreed upon hourly rate for missed one hour therapy sessions or those canceled with less than 24-hours’ notice.
Click the links to download the forms
Please remember to scan and email me the completed forms at least 48 business hours before our first appointment. Email: [email protected]
anything else. Ethical and legal guidelines prohibit me from
meeting with new clients without these completed forms.