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Fees

Appointments

We are currently offering both telehealth and in-person therapy sessions from our nine office locations. Please note telehealth sessions are only available to residents of Pennsylvania. To request an appointment, complete our online Appointment Request Form above. The form is securely submitted, the information is reviewed, and a therapist or intern is assigned based on best fit as determined by the needs of the client and the availability of our staff. The clinician assigned to you will contact you to schedule the first appointment and finalize the fee with you. The process usually takes place within a week. All counseling is private and confidential, unless we are required by law to report an endangered person. Please feel free to review our therapists, services, and office locations and email us at contact@thepeacemakercenter.org if we can be of any further assistance.

Fee: Our fee is $150 per fifty-minute session. Sliding scale available upon request. 

 

Insurance: We are not in-network with insurance companies and are unable to take insurance. On request, our therapists will provide a receipt with proper codes that you can submit to your insurance company for out-of-network reimbursement of our fee.

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.

Please contact us if we can answer any questions or provide any assistance. 

Green Succulent Plant
Forms

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.

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

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.

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

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

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

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

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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