Shuck & Associates, PLLC
  • Home
  • CHRISTINE
  • Services
  • FAQ
  • FEES & FORMS
  • Contact & HOURS
  • COVID-19
S A F E  ​​C O N N E C T I O N   H E A L S




​Fees


​Cash, Checks, and Cards (Debit, Flex, HSA, Visa, MasterCard, American Express, Discover) are accepted forms of payment. 
​
​
  • 30  minute CONSULTATION                  0
  • 90  minute INTAKE                              250
  • 60  minute INDIVIDUAL                     190
  • 60  minute FAMILY                              220
  • 90  minute GROUP                                95
Picture
Picture



​
​







Cancellation Policy


Your appointment time is held for you once confirmed. If you need to make any changes to your appointment, please give
 24 hours notice.
​
​​Neglecting to give this notice will result in full charge of the session fee.

If we are able to reschedule within the same week, only a $50 late-rescheduling fee is added to your amount due.
Forms
​
Please read over the following forms for more detailed information on my policies and your rights. If you are able, print and sign prior to coming in for the intake. This will allow us to move more quickly through the consent process. We will have time to review the forms together, and you will have an opportunity to ask any questions you may have. 
​​​*Please note, for divorced parents of minor clients, please bring a copy of the custody agreement/divorce decree to the intake.
Picture



​
 PRINT                COMPLETE                SIGN               BRING 

Intake
File Size: 53 kb
File Type: pdf
Download File

Duty to Warn
File Size: 31 kb
File Type: pdf
Download File

Consent
File Size: 155 kb
File Type: pdf
Download File

Card Pre-Auth
File Size: 81 kb
File Type: pdf
Download File



​

​
​
​
​
​
READ

HIPPA
File Size: 100 kb
File Type: pdf
Download File

  • Home
  • CHRISTINE
  • Services
  • FAQ
  • FEES & FORMS
  • Contact & HOURS
  • COVID-19