LOW-FEE THERAPY

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I understand that the fee is $150 per 45-minute individual or couples session.

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I understand that Groundwork Therapy is not in-network and that I cannot submit for out-of-network reimbursement for sessions with an extern therapist.

NAME *

First Name

Last Name

PHONE NUMBER *

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INTERESTED SERVICES *

Individual Therapy (adults)

Teen Therapy (14+)

Couples Therapy (please provide name and email of partner in Comments or Questions section)

Understanding Self and Others Therapy Group - Virtual $100 per session (Tuesdays at 1PM-2:15PM)

Understanding Self and Others Therapy Group - In-Person $100 per session (Thursdays at 6PM-7:15PM)

ELIGIBILITY *

(If any of the following apply, you may be better served by a licensed or specialized provider rather than a student extern.)

I am experiencing active suicidal thoughts or engaging in self-harming behaviors.

I have been hospitalized for psychiatric reasons within the past year.

I am experiencing thoughts of harming others.

I am seeking treatment for active substance use issues.

I have been mandated by a court or legal system to attend therapy.

I am seeking couples therapy and recently there has been physical violence in my relationship.

I require formal psychological evaluation or documentation for legal, educational, work, or medical purposes.

None of the above are true for me.

SERVICE LOCATION PREFERENCE *

In-Person

Virtual

No Preference