Fees & Forms

Please print and complete the following forms prior to your first office visit:

Fee Explanation

Beth Shorstein Counseling is an out of network provider. That means I do not accept your insurance directly. However I can provide you with a superbill, which can be submitted to your insurance carrier for reimbursements. This is a weekly or monthly summary of your payments that insurance companies use to process reimbursements. You should contact your insurance company and ask them what their reimbursement terms are for therapy sessions. Please be aware that if you choose to submit a superbill to your insurance company, your private medical information will be released. This may impact your future insurance coverage, rates, and reimbursement.

Please cancel 24 hours before session to avoid cancellation fee.

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