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Green Hills with Blue Sky

Prepare for the first appointment

Prepare for your first appointment
 
All Clients
 

To schedule your first appointment you can fill out the appointment request form, email me or contact me by telephone at 713 256-1917.
Once you have determined that I have an appointment available for you, submit a retainer fee of $85.00 which will be refunded at the termination of therapy if it has not been needed to cover a late cancellation or no show.   We prefer 48 hours notice to reschedule or cancel an appointment, but will reduce the standard no show fee of $85.00 slightly if a call is made prior to the appointment even if it doesn't meet the 48 hour notice requirement.  We will make every effort to send a reminder text the day before once you have consented for us to do so.

Please print the following forms, complete and bring to your first appointment and submit the $85.00 retainer fee. See the links below to print the forms.
Intake form
Psychotherapy Treatment Agreement and Disclosure Statement
Privacy Policies/Confidentiality Statement
Initial Assessments
Intake Form

Cancellation/No Show Policy

Amount: $

 



Clients who intend to use health insurance for payment/partial payment.


In addition to the above steps, please leave a message on my confidential voicemail or provide us with the following information prior to your appointment:
Your full name and date of birth
If you are under another person's insurance (ie spouse or parent), the name of that person and their date of birth
Name of Insurance
Member ID number on the front of your card
Group ID
Telephone number for providers
I am in network for Blue Cross Blue Shield and Cigna and can help you file for other insurances if I am not in network.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Schedule Appointment

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