Forms and documents

Helpful Resources for Your Treatment Journey

You can access important forms and documents related to your therapy at Alcove Mental Health below. These include consent forms, privacy policies, HIPAA practices, intake questionnaires, and release of information forms.

Established clients: These documents will also be available to you in your secure client portal. You may also request a printed copy at any time.

Practice Forms and Documents

  • Individual Therapy Consent Form

    Empowered Relief Consent Form

    • These documents are provided for review only. Binding documents will be electronically signed via the client portal in PracticeQ.

  • Individual Therapy Payment Policy

    Pre-surgical Evaluation Payment Policy

    • These documents are provided for review only. Binding documents will be electronically signed via the client portal in PracticeQ.

  • For new clients with a scheduled 90-min intake appointment, you may complete the intake questionnaires via the secure client portal here.

    If you would like to review a PDF copy of the intake questionnaire, you may do so here.

  • General ROI
    Fillable (requires login)

    PDF (view only)

    Pre-surgical Evaluation ROI
    Fillable (requires login)

    PDF (view only)

  • Notice of Privacy Practices

Frequently Asked Questions

  • Yes! I offer a sliding scale for those experiencing hardship, with the lowest rate of $150 per individual therapy session. Please inquire to see if you’re eligible for this financial discount. 

    Sliding-scale spots are limited and offered on a first come, first-served basis.

    No financial documents are required, and eligibility is based on self-reported need.

    Rates are valid for 16 sessions, a full episode of treatment. If you choose to continue treatment after that episode of care, financial need and session rates will be re-evaluated based on clinic policies at that time.

  • Life happens, and plans sometimes need to change. If you need to cancel, please do so at least 24 hours in advance to avoid any fees.

    • Cancellations within 24 hours of your appointment will incur a 50% charge of your session rate.

    • No-show appointments will be charged 100% of your session rate. If your session was part of a pre-paid package, it will be considered used or forfeited with a no-show.

    If you experience an emergency or technical issue, please reach out to me as soon as possible to see if a no-show fee may be waived and if your appointment can be rescheduled.

    Please note that worsening symptoms related to your presenting concern do not qualify as an emergency under this policy. Living with chronic pain means some days are harder than others. Therapy is about learning how to navigate those difficult days. If you're in the middle of a flare, that doesn’t mean you have to push through a full session, but it also doesn’t mean you have to cancel. Maybe we spend our time doing a guided relaxation practice, or we switch to a phone session if that feels more manageable. The goal isn’t to force anything—it’s to help you build confidence that you can get through tough moments with support. Therapy is here to help you find solutions, even on the hard days.

    Thank you for your understanding and cooperation!

  • To reschedule or cancel an appointment, you can contact me by calling or texting 775-235-2406, OR reschedule via the client portal under “appointments” in the menu.

  • Yes, in compliance with the No Surprises Act, I provide a Good Faith Estimate for all clients. This written estimate will be shared with you before services begin, outlining expected charges for therapy and any other associated services. If you ever have questions about your estimate or experience unexpected charges, I encourage you to reach out so we can address your concerns.

    If it helps, a typical course of CBT for Chronic pain is 12 to 16 individual sessions, following the intake.

  • While therapy sessions are the primary space for our work together, I’m happy to provide brief follow-up support between sessions for pressing matters. You can reach me securely through the client portal for messages, questions, or to clarify anything from our sessions. Please note that I do not provide urgent or emergency care between appointments, but I can help you find resources if needed.

frequently asked questions about telehealth therapy

Didn’t find what you need on this list? SeE our full FAQ here.

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Alcove Mental Health is here to help.