Fees

Fees

• Individual therapy is $270 per 60 minute session.
• Couples and Family therapy are $350 per 75 minute session.

Client Intake short form
File Size:	26 kb
File Type:	pdf

Download File

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Payment
I accept Mastercard, Visa, checks and Venmo. To use a credit card, please fill out the form below.

• Credit Card Authorization form

Insurance
Providing comprehensive psychotherapy care demands a personalized, tailor-made approach. As such, I do not follow the one-size- fits-all treatment guidelines dictated by insurance companies, as they may compromise the customized treatment that my patients deserve. I will certainly help to provide a detailed invoice if you wish to submit your own claim to insurance.

Consent Forms

Individuals

Individuals Informed Consent form (OCT-22)
File Size:	110 kb
File Type:	pdf

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Individuals Bilateral Consent form
File Size:	55 kb
File Type:	pdf

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Couples

Couples Informed Consent form (OCT-22)
File Size:	110 kb
File Type:	pdf

Download File

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Couples Treatment Agreement
File Size:	54 kb
File Type:	pdf

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Families

Families Informed Consent form (OCT-22)
File Size:	110 kb
File Type:	pdf

Download File

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Minors

Minors Informed Consent form (OCT-22)
File Size:	105 kb
File Type:	pdf

Download File

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Minors Bilateral Consent form
File Size:	67 kb
File Type:	pdf

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Minors Consent Services
File Size:	72 kb
File Type:	pdf

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Telehealth

Telehealth Consent form
File Size:	59 kb
File Type:	pdf

Download File

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Ketamine Assisted Therapy (KAP)

KAP Consent form (0CT-22)
File Size:	109 kb
File Type:	pdf

Download File

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If you like what you have read, and you think I could help, please call or email me for a free consultation at 415-454-8931 or  thomkesslertherapist@gmail.com