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Paperwork

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 currently offers private-pay therapy.  A superbill is available upon request and may be submitted to your private insurance provider for reimbursement. Provision of a superbill does not guarantee reimbursement from your insurance provider. Payment is due at the time services are rendered and may be made via cash or debit/credit card.

Please contact us for more information on the private pay.

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.