Kylee Shields
 
 

CLIENTS

 
 
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Therapeutic Alliance

Therapeutic alliance, the relationship between a therapist and a client, is vital to successful therapy. Therefore, I feel that it is very important for my clients and I to feel that we are a "good fit" for each other.

Payment

Rate: $120/60 minute Therapy Session

I accept cash, check, & Venmo (@kyleeshields), as well as payment on this website (HSA & all major credit cards accepted). Keep in mind that if you use Paypal (website) or Square Swipe (in office) there's an additional $3 fee.

 
 
 

Confidentiality

As a  Mandated Reporter I am required to break confidentiality in the following areas:

  • Abuse (physical, sexual, etc.) that hasn't already been reported.
  • Harm to self
  • Harm to others

 

Cancellation Policy

If you are unable to attend a session, please make sure you cancel at least 48 hours beforehand. Otherwise, you may be charged for the full rate of the session.

I will charge a $25.00 missed appointment fee if I do not receive notification within 24 hours in advance.

 
 
 

Client History

Client History/Intake Form

Please fill out this Client History/Intake and either email it to me directly (kyleeshields@gmail.com) or bring it to your Consultation Session or your First Therapy Session.

Release of Information 

Authorization For Release Of Information

If you’d like me to be able to talk with another provider such as a doctor, dietician, or prior therapist, then you’ll need to print & sign this document and bring it to the session with you.