Forms & Rates

Thank you for choosing Flip! Prior to your appointment, please print and fill out the required forms for counseling service:

Developmental History

Business Policies and Procedures

HIPPA

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EDLA PREVETTE, DISCLOSURE STATEMENT

ELIZABETH WORLEY, DISCLOSURE STATEMENT

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Standard Fee Schedule

• Individual/Family Psychotherapy $110/session  *​sliding scale available
• Initial Diagnostic Evaluation $150
• Triple P Program / Parent Counseling $110/session
• Treatment Summary/Written Reports range from $50-$200 with 2 weeks notice
  
• Court Requests: A flat fee of $1000 will be charged each day or part thereof for clinical court appearances on behalf of each client. All fees are due prior to receipt of report or appearance and a written and signed letter must be obtained from the client and/or its representative at least one week prior to the court date. 

Cancellation

Please allow us a 24 hour notice for cancellations or reschedule. 
$50 / no show fee

Payment

Cash, check, Venmo, and major credit cards accepted (Mastercard, Visa)

Insurance

Flip does not participate on insurance panels.
Services may be covered in full or in part by your health insurance or employee benefit plan. We can provide a superbill to file with your insurance. Please check your coverage carefully by asking the following questions:

• Do I have mental health benefits?
• What is my deductible and has it been met?
• How many sessions per calendar year does my plan cover?
• How much does my plan cover for an out-of-network provider?
• What is the coverage amount per therapy session?
• Is approval required from my primary care physician?​