Forms & Info

Please complete the forms below prior to your session. You may either

  • complete these on your computer using Adobe Reader (click here to download for free if you do not have it) and email them back to me at (need to know what email you want to use here), or
  • you can print them out, complete them and bring them to your appointment.


Some notes on the logistics of working with me:

Sessions last 45 minutes, though I sometimes book longer sessions if the need arises.

I have a flexible schedule, and in addition to traditional daytime office hours, I do see some clients on evenings and weekends. I also do phone, Skype and Facetime sessions for established clients.

I accept the following forms of payment: cash, personal checks, and credit cards (MasterCard, Visa & American Express).

I know many people are interested in using their insurance to pay for therapy. I am currently a preferred provider for Aetna. With other insurance companies, my services are usually covered as an out-of-network provider – if your policy has out-of-network coverage. I’m happy to contact your insurance company to find out details of your coverage (including coverage, deductibles and co-pays).

For out-of-network coverage, my normal policy is to provide you with a detailed invoice, which you can then submit to your insurance company. Under certain circumstances I will do the insurance billing for you – please ask when we meet each other.

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