New patients must complete these forms prior to your initial session with Self-Expressions Therapy. Please review, complete, and email these forms to us. If you have any questions about these forms or need additional information do not hesitate to contact us.
Self-Expressions Therapy proudly accepts Step Up For Students Scholarships—no referral, diagnosis, or prescription required to begin services.
We also offer private-pay therapy for families not using scholarship funding. A superbill is available upon request and may be submitted to your private insurance provider for potential reimbursement. Please note that reimbursement is not guaranteed and depends on your individual insurance policy.
Payment is due at the time of service and may be made via cash, debit, or credit card.
Contact us to learn more about private pay options or using Step Up For Students to support your child’s therapy.
Attendance and participation in therapy along with complete compliance with any associated home programs, are essential for therapeutic success.
Self-Expressions Therapy understands that illnesses and emergencies occur, we respectfully request that you avoid frequent cancellations or “no shows”.
All cancellations must be submitted 24 hours prior to your scheduled appointment. A fee will be charged for appointments that are missed or cancelled without 24 hours notice.