Client Forms

Beginning of Treatment Forms:

Therapists often use these forms in the first session to gather some initial information. It is helpful if you can bring the form completed to your first session.

Child Information Form

Personal Background Form

 

Consent Forms:

Consent forms provide an overview of treatment and assessment services at our center, and give you an idea of what you are agreeing to when you decide to seek services here. It is a great idea to review these documents before your first session. 

For adults seeking individual treatment, read "Informed Consent for Treatment"

For couples and families seeking therapy services, read "Informed Consent for Treatment" and the "Addendum for Couples and Families"

Informed Consent for Treatment

Consentimiento informado y Acuerdo de Tratamiento

Addendum for Couples and Families

 

For families with older youth, where the youth may be seen individually for some or most sessions, the "Assent Form for Youth" and the "Treatment Information Form for Youth" may be helpful for both the family and the adolescent to read.

Assent Form for Youth

Treatment Information Form for Youth

 

For those who are looking to complete an assessment, read the "Informed Consent for Assessment" form.

Informed Consent for Assessment

 

Fees for Services

Therapy

The standard fee for individual, couples', or family therapy is $20/session. The first consultation session is always $20.  We scale our fee lower in extreme circumstances of financial hardship. The standard fee for group therapy is $5/session. If you are an older adult receiving Medicare, you may qualify for financial hardship.

Assessment

The standard fee for assessment is $500. This fee includes all meetings with the assessor, interpretation of results, the report, and a feedback session. We scale our fee lower in extreme circumstances of financial hardship. If you are an older adult receiving Medicare, we can offer $50 assessment package.

Pay for Services Online Here