Counseling Request Form and Fees
Please fill out the form below and select from the options provided.
Your Email Address
OUT OF POCKET The first session covered with fee. The second attended session is FREE. The third & subsequent sessions are at a discounted rate. Sessions are one hour in length.
Initial Asessment (Add $65.00)
Individual (First Session) (Add $50.00)
Individual (Second Session)
Individual (Third Session) (Add $30.00)
Couple (First Session) (Add $60.00)
Couple (Second Session)
Couple (Third Session) (Add $45.00)
Family (First Session) (Add $75.00)
Family (Second Session)
Family (Third Session) (Add $55.00)
INSURANCE: Initial Assessment - $65/hour; Individual - $55/hour; Couple - $65/hour; Family - $75/hour
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