FORMS        
(PRIOR TO YOUR FIRST VISIT)


NEW CLIENT REGISTRATION
CLIENT HISTORY
CONSENT & BILLING
INFORMED CONSENT
HIPPA

INSURANCES ACCEPTED

Blue Cross of Idaho
Regence Blue Shield of Idaho
Select Health
Idaho Physicians Network (IPN)
Aetna
PacificSource
Open Path
​MDLive (internet)
​
NOT Currently Accepting Medicaid (Optum)



For those without private insurance a sliding fee scale is available upon request

FEES
(No-Show $40 - Including Late Cancellation <24 hours)

Initial Assessment Session 
1-2 hours as needed  90791 $150-$200

Individual Therapy
55 Minutes & over 90837 $120
45 Minutes 90834  $100
30 Minutes  90832  $80

Couples Therapy  
1 hour   90837   $120
 
Family Therapy  90847
90846 (without child)
1 hour  $120
 
Group Therapy  90853 $30
Per hour / Per Member

Court Fees 
Per hour $100
8 hours paid in advance of court date $500