top of page

Policies & Forms

Insurance Policy

Many insurances will cover therapy as part of your out of network benefits. I will provide you with a statement to submit to your insurance company at your request. Insurance cannot be billed for co-parent counseling, divorce mediation, or collaborative divorce coaching. 

Cancellation Policy

When we schedule an appointment, I reserve that time specifically for you and ask that you keep the time reserved for you. In the event that you do need to cancel, please be certain to contact me at least 24 hours in advance to avoid being charged for the appointment.

Registration

Form

REGISTRATION FORM

Please read the Registration document attached. 

HIPAA

Form

The privacy of your treatment is extremely important to me.  Please read the HIPAA document attached. 

HIPAA FORM
bottom of page