Fees and Insurance

I ask my clients to pay for sessions either by cash, check, or credit card.

I do have some sliding scale slots available for those who aren’t able to afford my full fee, and I am happy to discuss this when we speak on the phone or in person.

I provide invoice forms with universal insurance codes for clients using their insurance coverage. My policy is to collect our agreed upon fee, and I will provide an invoice for you so that you bill your insurance directly. If you plan to use third party reimbursement it’s helpful to contact your insurance company before the first therapy session to ask questions such as:

  • What percentage of my bill do you cover for services obtained from an out of network therapy provider?
  • What is my co-payment?
  • What is my deductible?
  • How many sessions are covered per calendar year?


I take my responsibility and legal obligation to protect the confidentiality of my client’s therapy sessions very seriously.  In most situations I need a client’s written permission to talk about our work in therapy with another person. However, there are some clear exceptions to keeping confidentiality:

  • If I believe a dependent adult, elderly person or child is being abused or neglected, I am legally required to take action to protect them from harm and I must file a report with the appropriate state agency.
  • If a client is suicidal and at risk of harming herself  or himself, I will need to  contact family members or others who are able to provide a safe and protective environment, or it may be necessary to  seek hospitalization for the client.
  • In the case of a client threatening serious bodily harm to another identifiable person I am required to notify the potential victim and notify the police to ensure the safety of the potential victim.