Sonya Stagnoli, LPC, LMFT - Helpful Forms
Sonya Stagnoli, LPC, LMFT - Helping your family
 
If you're a new client, please complete the following forms and bring them to your first therapy session.
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
 
Are you and your spouse having difficulty understanding and communicating with one another? If so, it would be helpful if you take this brief assessment and bring me  your results:
 
How about challenges saying you are sorry? Please complete this quiz and bring me the results:
 
Rates 
$100 per 45-minute session for individual appointments
$120 for family sessions
 
Insurance
Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by asking the following questions:
  • Do I have mental health insurance benefits?
  • What is my deductible and has it been met?
  • How many sessions per year does my health insurance cover?
  • What is the coverage amount per therapy session?
  • Is approval required from my primary care physician?
 
Payment
Cash, check and all major credit cards accepted for payment upon receipt of service.
 
Cancellation Policy
If you do not show up for your scheduled therapy appointment, and you have not notified us at least 24 hours in advance, you will be required to pay the full cost of the session unless an emergency arose.
You are welcome to reschedule your appointment within a week.
 
 
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