Forms

Complete, print, and bring with you to your first appointment. Click here for PDF format

Complete, print, and bring with you to your first appointment. Click here for Microsoft Word format

Insurance

Aetna
Behavioral Health Systems
Blue Shield of California
Ceridian EAP/Military One Source
Cigna
Employee Support Systems EAP
Fiserv Health
HealthComp Administrators
Horizon Health EAP
Human Behavior Associates EAP
Magellan Health Services
OptumHealth Public Sector
Pacific Source
TriWest

SLIDING FEE SCALE

ANNUAL INCOME 0-19,999 20,000 - 39,999 40,000 - 59,999 60,000+
SESSION RATES $50 $70  $90 $120