If you’re a new client, please complete the following client forms and bring them to your first therapy session.
- Client Psychotherapy Intake Form
- Informed Consent for Psychotherapy Services
- Informed Consent for Coaching Services
- HIPPA Informed Consent
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.
Rates & Insurance
Please discuss fees with Dr. Symington
Our practice is fee for service, which means we don’t directly work with insurance companies. While you are responsible for payment, we do supply filled out CMS-1500 forms (universal health insurance form) that you can submit to your insurance company for out-of-network reimbursement.
Cash, check and all major credit cards accepted for payment.
We require at least 24 hours notice for any cancellations to avoid being charged for the scheduled session.
Request a therapy appointment online here.
Questions? Please contact me for further information.