Telehealth Counseling in Southeast OHIO
Email for Intake packet: [email protected]
Individual Intake Packet
For individual counseling services, please send an email to [email protected] to request an intake packet.
I will send you an electronic link to a client portal for you to access an intake packet from my electronic health record system, Simple Practice.
The link to access the portal will expire in 24 hours. It will take 30 minutes to complete the electronic documents.
I will contact you be email to schedule an intake appointment once the packet is complete. We will be meeting in the secure, HIPAA compliant, encrypted, telehealth platform of Simple Practice for your individual sessions.
Couple's Intake Packet
Billing information: All couple's sessions are self-pay only by a credit card. The credit card information will be kept on file and all services are charged at the beginning of the session .
Fees: $150.00 for intake appointment and $100 for each ongoing session.
COUPLES COUNSELING INTAKE FORMS
Each person in the relationship will receive an intake packet link from Simple Practice for you to complete information on line after you have made the email request for a couple's intake packet.
Additionally, the couple are also required to email pictures of Ohio driver's licenses to establish identity and verify Ohio residence.
We will be meeting in a HIPAA compliant, secure audio/video platform for your couple's sessions. I do not offer office visits.
Please email me at [email protected] if you have questions.
I am here to help you navigate the technology and the audio/video platforms we will use to meet in the connivence of your own home and to help the start-up of services to go smoothly.