Rates & Forms

Choosing to go to therapy is a decision to invest in your health and wellbeing. I am happy to work with your insurance company to make counseling possible for you and your loved ones. You may have out-of-network health insurance benefits that we can bill for you. You may contact your insurance company to determine your benefits, or you can complete the Insurance Intake Form below with your new client paperwork. For a $15 service fee, our insurance billing services provider will contact your insurance company and make an initial inquiry about your insurance benefits so that you can know in advance how much your sessions will cost you. By choice, we are not “in network” for any insurance companies.

I offer a complimentary 15-minute initial telephone consultation to discuss your concerns and determine how I can assist you in achieving your goals. Call (541) 610-9500 to schedule an appointment.

Forms:

ASC Child Insurance Intake 11-2016

ASC Financial Agreement 11-2016

ASC Informed Consent 11-2016

ASC Insurance Intake 11-2016

ASC Intake 11-2016

ASC Professional Disclosure Statement 11-2016