Policies & Forms

Rates

My fee is $100 per session for a 50-minute session. Reduced fee appointments are offered on a limited basis. Please inquire about reduced fees if needed.

Cancellation Policy

Clients are free to cancel previously scheduled sessions provided 24 hours notice has been given. Otherwise, I charge for a missed or dropped appointment at the last minute. The charge would be waived for an emergency or special circumstance.

Privacy

What can you expect of me: Ethical behavior.  I am governed by the American Counselor Association (ACA) and Tennessee Board of Licensed Professional Counselors to follow the ethical and legal guidelines for my profession including confidentiality with the exception that I am a mandated reporter and must report acts of child abuse, elder abuse, abuse of a disabled person, threats or acts to harm self or others.

I must have a signed Release of Information (ROI) set up to speak with any family member, friend, or medical/clinical provider. Without a release, I cannot confirm or deny that you are a client.

Forms

These are the forms that you will bring with you to the first session. Feel free to complete these before arriving so that we can review them during the session. 

Intake Form – Provider Copy
Intake Form – Client Copy