Forms and Fees


Please print out, fill out, and bring Counseling Intake Packet

to your first appointment. Please also bring a copy of both sides of your insurance card if you will be using insurance. My fees are $200 for the initial appointment and $150 for 55 minutes sessions thereafter. We do have a sliding fee schedule. Please let us know if you would like to discuss your fee.

I charge $100 for missed first appointments

Authentic Movement

The cost for Authentic Movement is $40 for a 2 hour group, $150 for one hour individual session. This can be private pay or I can bill insurance. Please print fill out and bring the Authentic Movement Intake form AMInformedConsent0115.doc


also use the Insurance Information if you would like me to bill your insurance as well as a copy of both sides of your insurance card.