Dr. Jill C. Manning

Client Forms & Fees

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Forms 
 
Clients are encouraged to download, print and complete the Intake forms prior to their first appointment.
 
These forms provide valuable information regarding confidentiality, client rights, fees, and suggestions for making your first appointment as comfortable and productive as possible. 
 
Please bring the completed forms to your first session.  If there are any questions or concerns about the forms, you are welcome to address these with Dr. Manning before your session.      

Click here for Intake Forms

Click here for Release of Confidential Information Form

Click here for Telephone Therapy Consent Form

Fees 
Individual Sessions (60 minutes) are $120.00
Family & Couple Sessions (90 minutes) are $175.00

 
Payment 
 
Clients may pay for their therapy sessions using the PayPal system.  All major credit cards are accepted and the online transactions are secure.  Personal checks and cash are also accepted on the day of one's appointment.  
 

 

To pay for an INDIVIDUAL therapy session

To pay for a COUPLE or FAMILY therapy session