Your Next Step
Please review and complete the appropriate form below for the services in which you're interested and bring them with you to our first session. Sessions vary in length based on the service, however, I strongly recommend a first time two (2) hour session for all couples and families beginning counseling. Cancellations are required at least 24 hours in advance to avoid a charge of the session.
Forms
My Services
Payment is requested at the time of service or prior if you prefer to pay online; I have provided a secure, online payment system below for your convenience. I currently do not accept or submit to medical insurance, however I am happy to provide you with a monthly super bill for your insurance submittal.
Individual Psychotherapy (50 Minutes)
Individual Psychotherapy (110 Minutes)
Life Coaching/Consultation
Pre-Arranged Service Fees
Please click on the "Pay Now" button and follow the instructions below. You do not need to sign up for PayPal; you can complete the payment process as a "guest".
- Under "Purchase details", click in the "Description" field and enter a description of the service.
- Below the description field, enter the "Price per item" that we have discussed.
- Click the "Continue" button.
- Enter your email and password if you wish to pay via your PayPal account to make your payment OR
click the "Pay with Debit or Credit Card" button to enter your payment information.
Thank you so much, and If you have any questions, please don't hesitate to contact me.
Good Faith Estimate
Please note: You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call me at (818) 297-4444.