LOOKING FOR AN APPOINTMENT? 

WE ARE HERE FOR YOU!

We are accepting new clients for both telehealth and in-person sessions.

To make an appointment please complete our confidential Appointment Request form.

Our therapists and interns set their own schedules, so once your Appointment Request is submitted

and reviewed by our Intake Coordinator, you will be contacted by your therapist or intern to schedule your appointment. Learn more about us by clicking on About or review our staff bios by clicking on Staff

CURRENT CLIENTS

Current clients complete additional forms below when requested by your therapist.  

RATES / INSURANCE

The Peacemaker Center does not take insurance and is not in network with insurance companies. Upon request, our clinicians will provide a receipt with proper codes that can be submitted to your insurance company for out-of-network reimbursement of our fee. Our fee is based on a sliding scale with full pay set at $150 per 50-minute session. We can offer a reduced fee to those in need, based on our sliding scale. 

PAPERWORK

 
 
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Anger Assessment

All are welcome to complete the Anger Assessment.

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Consent

All clients are requested to sign a Consent. Both parents/guardians sign for children under age 14.

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Depression Screening

All are welcome to complete the Depression Screening.

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Life History

Complete the Life History when requested by your therapist.

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Appointment Request

To request an appointment complete our confidential Appointment Request.

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Couples Accessible, Responsive, Engaged Questionnaire (A.R.E.)

Complete the A.R.E. Questionnaire when requested by your therapist.

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Devereux Adult Resilience Survey (DARS)

Complete the DARS when requested by your therapist.

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Recreational Activities Release

Complete the Recreational Activities Release when requested by your therapist.

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Authorization for Release

Complete the Authorization for Release when requested by your therapist.

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Couples Dyadic Adjustment Scale

Complete the Dyadic Adjustment Scale when requested by your therapist.

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Feelings List

All are welcome to complete the Feelings List.

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Scholarship Application

Complete the Scholarship Application when requested by your therapist.