Forms & Fees

Forms

Please print the appropriate forms, fill them out, and bring them to your first session.

Individual Counseling Intake Form (for couples or family counseling; each partner/member needs to fill out their own intake form)
Minor Individual Counseling Clients Intake Form (for clients under 18)
Consent & Waiver
Professional Disclosure Statement
Individual Counseling Sliding Fee Scale
HIPPA Privacy Practices Notice

Fees

Insurance clients will be given a receipt for services rendered which can be presented to the client’s insurance company for reimbursement. Please note: Insurance compensation will be determined by your insurance provider. Client is responsible for paying fees at the time of service.

 

Private pay rate for individual client sessions ranges from $50-80 per 50-minute session, depending on client’s ability to pay. Please review the Sliding Scale form above.

 

Couples and family counseling is $80 per 50-minute session.

 

Extended sessions will be prorated. Rate will be discussed on a case-by-case basis with your counselor during the initial intake session.

 

Group and workshop rates will vary based on topic and length, but average about $20-$50 per person per group session or workshop. Contact us for consultation rates for businesses and organizations.

 

Phone calls are free for the first 5 minutes. Any 15-minute portion thereafter is $20.

 

Accepted forms of payment: Cash, check, VISA, Mastercard, Discover, American Express, HSA card, or Paypal. Please make checks out to Compass Counseling & Consulting, LLC. If you are paying with cash, please bring exact change. Sessions are prepaid or payed at the end of each session. Please note: If you are prepaying for your session, please first consult the sliding scale document above to determine the fee amount.

 

Clients will be charged the entire fee for any session that was either missed or cancelled/rescheduled with less than 24 hour notice given to the counselor.

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