Forms
- Adult Intake
- Child Intake
- Anxiety Assessment
- Depression Assessment
- Authorization Release to Release Confidential Information
- Credit Card Form
We offer counseling for Children/adolescent; pre-marital therapy, domestic violence, family therapy and couple therapy. delinquency prevention, youth at risk.
Rates/Fees:
The fee is customary rate per 50 minute session, however, we offer sliding scale as well, which is based on your income and ability to pay. We can discuss fee modifications especially for non “prime time” hours, when I have opening.
Some insurances are accepted such as:
Aetna · Beacon · Blue Cross · Blue Shield · CHIPA ·
Cigna · Comp-Psych · Covered CA · EAP Services · Health Net ·
L.A. Care · Life Sync · Magellen · Medi-Cal · Tri-Care ·
United Behavioral Health · Value Option
Fees are collected at each visit, preferably at the beginning of the session, so that we need not use session time to write checks, etc..
These documents are intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
Once complete, please bring form in its entirety to your initial visit.
You have taken the first courageous step in seeking help and make changes towards bettering your life. We understand how difficult making a choice like this is, and will support you throughout the process.
