
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 |
|
 |
|