Forms

Before we begin our sessions together, you will need to complete the following forms. Click on the name of the form to open the PDF:

• Client Information Form
• Counseling Policies Form
• Privacy Statement
• Disclosure Statement

Fees

The fee per 50-minute session is $100. You may pay by check, cash, or credit card. Secure credit card payments are processed by PayPal. You do not have to have a PayPal account in order to use their services.

Insurance

Please call your insurance customer service number to verify benefits and confirm my participation on their panel of providers. Please note that my name is listed as Jo Ann Zepp and not Joni with insurance providers. Do you have a deductible, co-pay, or need prior authorization? Please have this data available at the first session. Thank you.