Carrie Sheppard LMHC, Nurturing Growth, Maximizing Potential
Home
RDI
Services
International Consulting
Autism Resources
For Professionals
Your First Visit
Forms & Fees
Contact Us
 



Carrie Sheppard, LMHC

27023 164th Avenue SE
Covington, WA 98042
(253) 859-3505 Phone
(253) 639-7145 Fax
carrie@mindsourcecenter.com

Forms & Fees, To Help You Get Started

Relationship Development Intervention® Forms

(Click on the form name to download in PDF Format)

> RDI Program Options
> RDI Policy Addendum
> What to Do While You Are Waiting
> Information on the RDI Assessment (RDA)-Office Version
> Information on the RDI Assessment (RDA)-International/In-Home Version
> Video Authorization Release
> Health Information Release
> Declaratives
> My Resume


Counseling Forms

> Office Policy Statement
> Health Information Release


Rates
Individual psychotherapy (50 minutes) $130
Initial diagnostic session (55 minutes) $160
RDI services, per hour $150 (per hour)
Extended psychotherapy session (75 minutes) $180
Late cancellation/missed appointment fee $60
Returned check fee $40


Insurance
Most private health insurance plans are accepted; however, please check with your carrier to be certain of the provisions of your policy, including deductibles and co-pays, as you will be held responsible for any costs not covered by your plan. For your convenience, we will bill your medical insurance directly, unless you request otherwise. It is up to you to obtain any mental health pre-authorizations (if required by your plan) prior to your first visit. We accept MasterCard and Visa.

  "Carrie has been very affirming in working with our family and has shared her wisdom and experience in a way that never feels judgmental."

- K.B., Attorney, Washington
 





Carrie Sheppard LMHC - Nurturing Growth, Maximizing Potential
Home | RDI | Services | International Consulting | Autism Resources | For Professionals | Your FIrst Visit| Forms & Fees | Contact Us
27023 164th Ave SE • Covington, WA 98042 • (253) 859-3505 • Fax (253) 639-7145 • carrie@mindsourcecenter.com
©2008 - 2009 All Rights Reserved. All materials are copyright protected.
Written authorized consent must be obtained for any materials contained within.