Information and Forms

Click the links below to read about my office policies:

Office Policies – Child and Adolescent

Office Policies – Adult

Click the links below to download and print forms:

Intake form – Child and Adolescent

Intake form – Adult

Rates
$150 per 50 minute session

Insurance
For various reasons which we can discuss, I do not accept insurance. I can create a superbill for you to submit to your insurance company for reimbursement. Services may be covered in part or in full by your insurance company or employee benefit plan. Before our first meeting please contact your insurance company and obtain information about what coverage you have for mental health services. Questions that may be helpful to ask are:
– What is my deductible and has it been met?
– How many sessions per year are covered and What is the coverage amount per session?
– Do I need prior approval from my primary care physician?
– Can I get reimbursed for therapy with an out of network Licensed Marriage and Family Therapist?

Reduced Fee
Reduced fee services are available on a limited basis. Please inquire.

Payment
Please provide payment at the end of each session to the receptionist or myself. Checks and cash are accepted.

Cancellation Policy
I recognize there may be occasions when you need to cancel or reschedule. In order for me to fill your time slot please provide me as much notice as possible, but at a minimum provide 24 hour advanced notice. If you cancel or reschedule with less than 24 hour notice, you are required to pay for the session in full.

Scheduling
In order to schedule a consultation or appointment you have three options. You may:
– Email me at Hillary@TherapyWithHillary.com
– Leave me a confidential voice message at: (310) 853-0085
– Call our lovely receptionist, Danielle, at Well Being Medical Center at: (310) 395-0077 (or leave a message if she is unavailable).