Form Completion — Standard
Single-page forms or brief documentation requiring review and provider signature.
$50
Request Form
Pricing Transparency
Listed prices reflect self-pay (cash) rates. If using insurance, session fees are billed through your plan.
Administrative services (such as forms, letters, and records requests) are generally not covered by insurance
and may involve an additional fee.
BEFORE SCHEDULING:
All patients — including cash-pay — should use the Book Now
button to create an account and view available appointment times.If you are paying cash, we’ll coordinate payment together after your appointment time is confirmed.
Documentation & Administrative Services
These services support continuity of care. Prices shown are self-pay and are typically not covered by insurance.
Form Completion — Complex
Time-intensive documentation (FMLA, disability, DMV/work leave) requiring detailed review.
$150
Request Complex Form
Letter Request
Work, school, housing, ESA, or accommodation letters — includes one revision.
$95
Request Letter
Record Request / Documentation Packet
HIPAA-compliant compiling and secure delivery of clinical records or documentation.
$35
Request Records
Care Coordination (Clinician Time)
Communication with schools, therapists, physicians, or insurers. Billed in 15-minute increments.
QbTest Only
Standalone ADHD attention and activity testing with clinical interpretation and report.
$150
Purchase QbTest