Forms
These are the forms that need to be completed and filled out to the best of your ability and then returned, and signed, where indicated.
Consent for counseling therapy with a mi[...]
Adobe Acrobat document [577.4 KB]
Doxy.me is a telemedicine counseling modality I use that allows me to meet with patients, regardless of their location. It is secure, HIPAA compliant, and a convenient way to incorporate counseling into everyday life.
Click below to schedule an appt:
https://care.headway.co/providers/brett-gold?utm_source=pem&utm_medium=direct_link&utm_campaign=93202
Disclosure & Financial Policies
* All sessions are scheduled and attended using the link above.
*Emails sent during the week will be returned within 24 hours. Emails sent on the weekend will be returned on the Monday following.
* Standard fees are established by Headway and payments are set by participating insurance companies. All participating insurance companies can be viewed on the link in the Headway Bio.
*For those who prefer to meet on a platform separate from Headway, the private pay fees are:
$100 for single clients
$150 for couples and /or families
* Except for emergency, cancellations with less than 24 hour notice will still be charged for the session.
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