Contact Bay Area Therapy for Wellness

Name *

First Name

Last Name

Phone

(###)

###

####

Date of Birth *

MM

DD

YYYY

Therapy Session Location: *

Stephanie only offers virtual sessions at this time. She works with clients who reside within California, where she is licensed.

I live in California and I am open to virtual sessions

I need in person or I am outside of California

Scheduling: *

Stephanie sees clients on Tuesday's, Wednesdays and Thursdays from 10am-5pm with the last session starting at 4pm. Does this timeframe work for you?

Yes

No

Session Billing Information: *

Stephanie charges $200 for a 50-minute session. Our office can provide you with a monthly super bill (insurance receipt) to submit to your insurance as an out-of-network (OON) provider. This can reduce session costs significantly based on your coverage. Does this work for you?

Yes! This works for me!

I have questions about my out of network benefits. I need more information to know if this would work for me.

I plan to pay out of pocket as a self-pay client!