Please Print, Complete and Bring these for our initial session
Forms for all to complete:
New Client Information Form
New Client Consent Form
Forms for those with weight, eating and healthy lifestyle concerns:
Adult and Adolescent Weight-Related Questionnaire
Youth Weight-Related Questionnaire
Insurance and Fees
I am an out-of-network provider for all commercial insurance companies.
My fee is collected at each meeting.
As a service to you, I promptly submit electronic claims to your insurance company requesting that reimbursements be sent directly to you.
My current fee for each 45-minute treatment session is $240.
My current fee for the initial 60-minute assessment/goal-setting/skill-introduction session is $320.
If you have genuine financial need and no out-of-network insurance, please call to speak with me about the possibility of a discounted fee
Insurance and Fees
I am an out-of-network provider for all commercial insurance companies.
My fee is collected at each meeting.
As a service to you, I promptly submit electronic claims to your insurance company requesting that reimbursements be sent directly to you.