Client Information

Individual Counseling:

Print, complete and bring to your first session: 
1) the Registration Form and
2) the Credit Card Authorization Form.

We will sign the Agreement & Disclosure Form together when we meet; however, you might want to read it in advance.  

3) Agreement & Disclosure Form

I am required to inform my clients about my HIPAA Notice of Privacy Policy; it is provided below for your information only.

4) HIPPA Privacy Policy

Couples/Marriage Counseling:

Print, complete and bring to your first session:
1) the Registration Form (one per partner),
2) the Couples Questionnaire (one per partner) and
3) the Credit Card Authorization Form (one per couple).

We will sign the Agreement & Disclosure Form together when we meet; however, you might want to read it in advance.  

4) Agreement & Disclosure Form


I am required to inform my clients about my HIPAA Notice of Privacy Policy; it is provided below for your information only.

5) HIPPA Privacy Policy

Rates & Insurance:

At this time, I do not accept insurance. Some insurance companies provide reimbursement rates for out-of-network providers. You would need to contact your insurance company for more information. I can provide you the documentation required for submission to your insurance company.


My standard rate for psychotherapy is $125+tax per 50 min session. Reduced fee options are available.

My standard rate for Emotional Triggers Treatment (ETT) is $200+tax per hour. Reduced fee options are available.

Additional discounts for ETT are offered to medical and mental health practitioners.

Please inquire for more information.