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FORMS

Click the button below to complete the new client paperwork.  Please print and bring with you for your first session. This will ensure we can provide you with the best possible care.

PAYMENT OPTIONS

 

We accept cash, check, credit cards, insurance, and county service dollars as forms of payment. Remember you may also use your FSA or HSA to pay for your sessions.  

Rates

  • Psychotherapy/EMDR      $175

  • Diagnostic Evaluation:     $250

  • Coaching:                             $85 

 

 

IASIS

Initial Visit/Single sessions = $150, additional single visits $85

Treatment Package: 12 Treatments - $1500 = $125/treatment

Extended Treatment and Wellness package: 20 Treatments - $2340 = $117/treatment

Family Package (can be used for 3 or 4 members of the same household): 40 Treatments -         $4000 = $100/treatment

Veterans Discount - $75/treatment

Payment plans available for packages; Ask about a discount for additional family members

 

Private Pay Clients


Clients may choose to pay for their sessions apart from insurance companies. To have therapy services covered under insurance, you must have a mental health diagnosis.  Private paying clients often desire to have their permanent health record void of their mental health diagnosis, and prevent insurance companies from having legal access to their diagnosis, treatment plan and case notes containing a great deal of personal information. Payment is made at the time of the session

As a private paying client you can be assured of the following:

  • You and your clinician decide what is most important to address, without third party restrictions.

  • If a diagnosis is made, it remains confidential

  • You and your clinician can determine the length and frequency of each session.

  • Confidentiality: your record and all information in it will remain between you and your clinician, within the limits of the laws.

  • If you are interested in serving our country in any military branch, sessions remain off record.

 

You can be confident that your care and personal information is held to the highest standard of privacy allowed by Minnesota laws and statutes.

INSURANCE OPTIONS

Current accepted insurance plans:

  • Preferred One

  • TriCare

  • Blue Cross Blue Shield

  • Medicare

  • Medicaid

  • UCare

  • Aetna

  • Optima

  • Optum

  • TriWest

  • Medica

Clients who wish to use insurance benefits, please check with your provider regarding in network and out of network coverage. If a co-pay is required, we will collect before each session.

​CANCELLATION:

24 hour notice is required for canceling or rescheduling a previously scheduled appointment. There is a $50.00 charge for appointments that were not previously cancelled. 

PHONE CALLS & EMAILS:

We strive to meet all client needs after a session is over, however in order to maintain and model healthy boundaries, repetitive phone call that take longer than 30 minutes will be billed accordingly.  Regular email correspondence will generally occur on Fridays. 

AUXILIARY SERVICES: 

Occasionally requests are made for mental health evaluations and other reports.  A fee will be charged for these reports.

  • Progress Report/Court Report writing - $150/hour

  • Requested or Subpoenaed Court Appearances/Testimony - $185/hour including travel time. 

GUARDIANS OF MINORS WILL BE ASKED TO SIGN A SAFE HARBOR AGREEMENT, A DISCLOSURE REGARDING DIVORCE & CUSTODY LITIGATION AND A COURT APPEARANCE POLICY AS A PART OF THE INTAKE PROCESS.  

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