Usual and Customary Fees
Initial Assessment $120 (50 min)
Family/Couples sessions $120 (50 min)
Individual sessions (after the initial assessment) $120 (50 min) or $70 (30 min) mini session is an option to help with limited time or budget. Consistent weekly sessions is typical, length of therapy varies.
Biweekly sessions are available to help those with limited budget and/or time.
Family/Couples sessions $120 (50 min)
Individual sessions (after the initial assessment) $120 (50 min) or $70 (30 min) mini session is an option to help with limited time or budget. Consistent weekly sessions is typical, length of therapy varies.
Biweekly sessions are available to help those with limited budget and/or time.
Insurance
Insurance is accepted. Please verify your benefits with your insurance company and obtain preauthorization if required. Insurance plans and mental health benefits vary greatly. Susan Martinez, MA, LMFT is currently a provider for MHN, MHnet, and Alliance WP EAP. For other insurance, she would be considered "out of network". Your insurance company can explain your mental health benefits, and the policies and procedures to you.
Cancellation Policy
If you do not show up for your scheduled therapy appointment and did not call to cancel with at least 24 hours notice, you will be billed a $25 fee.
Methods of Payment
Cash (exact change), Check (please have written out ahead of time to Susan Martinez), and Credit Card are all accepted. Receipts provided upon request.
First Session Forms
1) Please read and keep a copy of the HIPAA Notice (pages 1-3). Please print, sign, and bring the signature page (page 4).
2) Please print, read, and sign the consent to counsel document.
3) If you are referred by Alliance WP EAP, please print, read, and sign the additional required forms.
2) Please print, read, and sign the consent to counsel document.
3) If you are referred by Alliance WP EAP, please print, read, and sign the additional required forms.
| HIPAA Notice of Privacy Practices |
| Consent to counsel |
| Additional forms required for Alliance WP EAP |
