Davis Counseling & Play Therapy Center, P​LLC​​

Fees, Client Information, and Forms

Fees 

The fee per session for individuals (including child/adolescent or adult) and parent sessions is $100.00 for each session (50-60 minutes).  

The fee per session for marital relationship sessions is $120.00 (60-75 minutes).


Insurance & Payment Options

Insurance is not accepted for payment at this time for therapy services. This allows for the utmost protection of your privacy and confidentiality. Third-party payers require personal information to include name, demographics, diagnosis/symptoms, level of functioning, and therapeutic progress in the processing of insurance claims. 

If requested, a "superbill" can be provided for you to file a claim for reimbursement with your insurance company. In situations of financial need, on a case-by-case basis, a sliding pay-fee scale (income-based) can be provided for those with financial difficulties in obtaining counseling services where a reduced fee is provided.


Payment

Acceptable forms of payment include cash, check, and all major credit cards. However, due to the COVID-19 pandemic, contactless payment is required through the TheraNest Client Portal or via the Square Terminal to minimize contact when making payments.


Appointments

Morning, afternoon, and evening appointments are available for your convenience. If there is a need for an immediate appointment, an appointment is usually able to be scheduled within 48 to 72 hours. 


Cancellation Policy

If you fail to show up for your scheduled appointment time, and you have not notified me by phone or email at least 24 hours in advance to cancel or reschedule your appointment, you will be required to pay a $50.00 no show/late cancellation fee. 


Voicemail/Email messages are checked numerous times during the day and in the early evening. I will make every effort to be available to you. If you are experiencing an emergency, please contact the Crisis Hotline, 627-LIFE (5433) or the local Crisis Hotline, Chesapeake City Crisis Care Emergency Line 757-455-0368, or dial 9-1-1 for immediate assistance. Please visit the closest hospital emergency room for psychiatric evaluation and acute intervention for further treatment care needs.

Please DO NOT use email to communicate emergencies. 


PLEASE NOTE: If you need to send confidential correspondence (e.g., information, forms, etc.), please send to [email protected] via Hushmail, a well-known secured email service. Otherwise, please DO NOT send confidential correspondence to [email protected]

Thank you.


Forms

Click here for Welcome Letter

Click here for Biopsychosocial Intake Form for Adult

Click here for Biopsychosocial Intake Form for Child and Adolescent

Click here for Consent for Working with Minors Form

Click here for Marital/Couples or Family Therapy Consent Form

Click here for Therapy Consent, Policies, and Procedures Agreement Form

Click here for Telehealth Consent Form (for current/existing clients ONLY)

Click here for Telehealth  Counseling Policies, Duties, and Procedures Agreement Form (for current/existing clients ONLY)

Click here for Important Telehealth Information (Getting Started Tools)  

Additional Guidance on Telehealth from Person Centered Tech