Refuge Somatic Psychotherapy
  • Home
  • About
  • Somatic Psychotherapy
  • Counseling / Psychotherapy
  • Fees & Forms
  • Contact

Info on Fees & Forms

​1. What are your Fees?       
       I set aside approximately 2 hours for Somatic Psychotherapy sessions. Therefore, I charge $150 for the first hour, and then additionally charge the time you actually use of the second hour ($100 for full second hour, $75 for 45 min, $50 for 30min.). For payment, I take cash, checks, credit/debit cards, HSA cards--and cupcakes. (just kidding on the cupcakes.) :)

2. Will Insurance Cover some of the fees?
      
If I am on your plan, insurance often covers a portion of the first hour (minus your deductible and co-pay), while the second hour will be out-of-pocket. If I am not a provider in your insurance network, I will be considered Out-Of-Network. Many people use their Health Savings Account (HSA) debit card to pay for sessions.  Some plans do not have a deductible to meet for Mental Health Benefits (either in network or out of network). So be sure to consult your specific plan. :)
If you would like to apply for a reduced fee based on your financial situation, you will need to supply me with your most recent 2025 tax-forms/IRS filing. 

Somatic PsychotherapyForms You Will Need:

Below are the SIX forms that you will need to print and fill out BEFORE you come to your first session.
informed_consent_for_rsp.docx
File Size: 26 kb
File Type: docx
Download File

rsp_short_intake.doc
File Size: 31 kb
File Type: doc
Download File

health_history.pdf
File Size: 33 kb
File Type: pdf
Download File

body_emotions_awareness.doc
File Size: 30 kb
File Type: doc
Download File

payment_and_credit_card_client.docx
File Size: 16 kb
File Type: docx
Download File

release_form_-_reverse.doc
File Size: 28 kb
File Type: doc
Download File


​Psychotherapy /Counseling Forms:

If you are interested in psychotherapy only (traditional talk therapy and/or teletherapy, these are the forms you will need to print out, and fill in:
1_counseling_consent_client.docx
File Size: 28 kb
File Type: docx
Download File

2_payment_and_credit_card_client.docx
File Size: 16 kb
File Type: docx
Download File

3_history_questionaire_counseling.docx
File Size: 21 kb
File Type: docx
Download File

healthhst.pdf
File Size: 33 kb
File Type: pdf
Download File

release_of_information.docx
File Size: 14 kb
File Type: docx
Download File

  • Home
  • About
  • Somatic Psychotherapy
  • Counseling / Psychotherapy
  • Fees & Forms
  • Contact