Informed Consent, Therapist-Client Agreement, and Policies: PDF

Health Insurance Portability and Accountability Act

The Privacy Rule protects all "individually identifiable health information" held or transmitted by a covered entity or its business associate, in any form or media, whether electronic, paper, or oral.

Sliding Scale/Reduced Rate Application

Please complete the following form to inquire about a sliding scale rate or reduced rate. If approved, you will receive a percentage off of the practice amount according to financial need in accordance with federal poverty guidelines.

Update Credit Card

Please use this form to update your card on file.