Reduced Rate Inquiry Form

 Reduced Rate Inquiry Form

To help reduce financial barriers to care, we also offer a limited number of reduced-fee appointments with our clinical interns. Clinical interns are graduate-level counseling or social work students completing their supervised clinical training. They provide therapy under the guidance and supervision of licensed mental health professionals. Reduced-fee appointments are offered as availability allows. Completing this form does not guarantee placement, but it helps us determine whether we have an option that may fit your needs.

Please complete the following questions so we can determine whether a reduced-fee intern may be a good fit and whether one is currently available. 

We understand that financial hardship can arise for many reasons. You are not required to share personal or traumatic experiences to request a reduced fee. Please provide only the information you feel comfortable sharing. Your responses will be kept confidential and used solely to determine eligibility for reduced-rate services.