Forms & Payment Payment Information

My rate is $150.00 for a 50 minute session.

 

Acceptable forms of payment include: cash, check, or credit card.

Some insurance plans are accepted.

 

Forms

Please print and fill out the following forms before our first session.

Fill out the Background Questionnaire, Consent Form, and Notice of Privacy Practices. Bring these to our first session together.


Christian Counseling
Kelley Connell, LCSW
Schedule an appointment today! Call 972-532-9535. Kelley Connell, LCSW

 

 

 

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