Please contact me for information on which forms to print and fill out prior to our first appointment together.
- Adult Intake Form
- Child Intake Form
- Consent for Treatment of Minors
- Informed Consent
- Informed Consent EMDR
- Release of information
I am “In Network” with MHN, Humana/Life Synch, United Health Care, Beacon (Sonoma County Partnership Medi-Cal), Value Options (Kaiser), Sutter EAP, Ceridian EAP, Victim’s Witness and am in the process of joining other insurance panels. I am a Medicare Provider. If you have a PPO your insurance may cover mental health appointments and therapy “Out of Network”. I encourage you to check with your carrier in advance to verify your mental health / behavioral health benefits, as coverage varies according to each insurance plan.
For those who are not using insurance, I offer a sliding scale fee scale based on income. Payment – including an insurance co-pay – is expected at the time of service unless arrangements are made in advance. Please contact me regarding current rates and questions you may have about your insurance.