Appointments

We are currently accepting new clients for in-person and telehealth (remote video-chat) counseling sessions scheduled on a weekly, every-other-week, monthly, or as-needed basis. Please follow the steps below to schedule an appointment with a qualified therapist or a consultation to learn more about our services. All counseling is private and confidential, unless we are required by law to report an endangered person. Please contact us if we can answer any questions or provide any assistance. 

Fees: Our full session fee is $150 per 50-minute session. We offer reduced rates to clients in-need based on our sliding scale determined by household income and other personal circumstances. 100% of the donations we receive pay directly for this Scholarship Program, which is limited to 12 sessions followed by re-evaluation. When available, our interns provide quality counseling at a reduced rate as well. Local churches are also often willing to pay a portion of session fees to reduce client rates.

 

Insurance: We do not take insurance, and we are not in-network with insurance companies. Upon request, our clinicians can provide a session receipt that includes the proper codes that may be submitted to your insurance company for an out-of-network reimbursement of our fee, depending on your health insurance plan. 

Green Succulent Plant

How to Schedule an Appointment

Step 1:

Appointment Request

Please submit our online Appointment Request Form. We welcome you to review our therapists, services, office locations, and fee information prior. When requesting a specific therapist, we will gladly aim to accommodate the request, however, therapists have varying availability. If you have financial limitations and would like to request sessions provided at a reduced rate, you may note it on your request form. Your request will automatically be sent to our Intake Coordinator who will assign a therapist to you based on your request. If you have any questions, please feel free to call us at 610-269-2661 or to email us directly at contact@thepeacemakercenter.org.

Step 2:

Schedule Appointment

Your therapist will contact you directly to schedule an appointment at a time that works for you. You will discuss your session fee and meeting place at one of our offices or via a secure telehealth video chat link your therapist will email to you. The therapist can answer any other questions you may have during that initial call. Because our therapists set their own schedules, our Intake Coordinator is unable to schedule session times.

Step 3:

New Client Forms

You will be asked to complete our New Client Forms:

  • Consent Form for treatment, explaining your rights and limitations in counseling. Both parents or guardians are required to sign the same consent form for any child participating in counseling under age 14.

  • Life History Form to provide your therapist with basic background information prior to your appointment.

  • Authorization for Release of Information (optional):  Because all counseling is strictly confidential, your written permission via this form is required if you wish for us to discuss your or your child's counseling with anyone else, such as a doctor or school official. This release form must be signed by both parents or all guardians for a child in therapy under age 14.

Step 4:

Attend Appointment

Meet with your counselor at your scheduled office location or over video chat via a secure link your therapist will email to you. When you arrive, wait in the lobby, enjoy our beverages and books, and your therapist will greet you. At the start of your session, your therapist will share his or her background information and review the consent form with you before you begin discussing your goals. Please let us know how we can assist you. We are committed to serving your best interest in counseling. Cancellation Policy: Please contact your therapist directly to reschedule or cancel your appointment no less than 24 hours prior to your meeting. Full session payment is due for no-shows and sessions cancelled less than 24 hours in advance. 

 

Forms & Resources

Forms to be completed by our clients when requested by your therapist.  All submissions are confidential and will only be shared with your clinician. 

Submit a request to be assigned to a therapist to schedule a therapy session.

Request to receive counseling sessions at a reduced rate if you are financially limited. 

Novaco Anger Scale. Not a final diagnosis. Your therapist will discuss your results with you.

The Couples Accessible Responsive Engaged Questionnaire

Consent to treatment by indicating that you understand your rights and limitations.

Permit a therapist to discuss  counseling with others. Both guardians must sign for child. 

For screening purposes only. Not intended for a formal diagnosis.

Express Assumption of Risk, Release of Liability, Waiver of Claims, Indemnity Agreement

Share information about yourself and your therapy goals privately with your therapist.

Check all the feelings you are experiencing, which will be privately sent to your therapist.

Indicate the extent of agreement or disagreement between you and your partner.

Devereaux Adult Resilience Survey created to assess the capacity to build resilience.

Contact Us
for Help

610-269-2661

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