Name *

First Name

Last Name

Client Name (if different)

First Name

Last Name

Prices and Insurance *

I often have clients who wait until the scheduling process to ask important questions about cost and insurance. I want to be as transparent as possible, listing these throughout my website. If you haven't seen these yet, please head over to my pricing page at https://www.veredcounseling.com/pricing

I understand the fee and insurance policies

I am interested in sliding-scale fees (not available for HRT/GCS letters) *

(Definition of sliding-scale and list of options available at pricing page, linked above)

Yes

No