Counseling & Psychotherapy Ann Arbor - Fees/First Session Paperwork - Ann Arbor, MI
Counseling and Psychotherapy Services - Monica King LMSW ACSW

Counseling Ann Arbor ~ Fees/First Session Paperwork:

Beginning Paperwork:

Intake Paperwork ~ for your first session if you have access to a copier, you can easily copy the paperwork for your first session by just clicking here and filling it out comfortably at home over a cup of tea, and bring it with you to your first appointment. Easy!

 
If you plan to use your insurance... you must also copy this insurance form and sign it twice in blocks #12 and #13 to authorize billing your insurance instead of you:




You will also need this Consent To Treatment - Please initial each paragraph at the end to show you have understood the content and are in agreement. 
In order for us to bill your insurance, you'll also need to provide a copy of a picture id like your license,
and a copy of both sides of your insurance card.

If you're a parent bringing in your child or teen ~ please also do
this paperwork to tell me about them:  Child/Teen Intake

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     I offer an affordable sliding scale to meet the needs of the diverse community that I serve. My intention is to make therapy in Ann Arbor affordable and accessible to anyone who is drawn to my practice. I strongly believe that finances should not be a barrier to psychotherapy, and strive to practice that belief in my business practices as an Ann Arbor Counselor and Therapist.  

My normal fees: 

$120 for your Initial Intake session, and
  $90 for a regular follow up (50-minute)
    Individual session
.  
     Fees are set during the initial phone consultation or meeting.  If you have circumstances that make this Ann Arbor counseling unaffordable, the fee can be adjusted based on your financial ability as well as my practice’s needs. I have a suggested sliding scale below for reference for clients who need this.

Feel free to call me at to discuss fees.

You may also Pay for professional services here, once your fee has been established:
                  *$3 transaction fee is added for use of paypal
Fee for service:
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Suggested fee per hour for your Ann Arbor Therapy, based on your Yearly Gross income.
          
36,000 - below  .....................   $55         
36,000-48,000   .....................   $65   
48,000-above    .....................   $90         
    
I will negotiate my fee if you have insurance but prefer not to use it.
I will do what I can to make my fees affordable if you have special circumstances affecting your finances
 
     Also, please note that I do not bill insurance directly, but am happy to offer you a monthly receipt, which you can submit to your insurance for reimbursement. My decision to not bill insurance directly has to do with protecting your confidentiality and the integrity of the therapy. However, if you would like to pursue insurance reimbursement, call your insurance company to find out about reimbursement rates for out-of-network psychotherapists. I would encourage you to consider the potential compromise of your confidentiality carefully.