Laura A. Guli, Ph.D., LSSP
Licensed Psychologist

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Fees and Forms

Currently I am not an in-network provider for an insurance companies. This allows you to have maximum control and privacy over your records. Payment is made directly to me at the time of service. However, most insurance plans consider me an out-of-network provider, and after I can work with you and provide receipts for you to obtain insurance reimbursement for my services.

My fees for therapy and consultation are competitive with those of other psychologists in private practice. My fee for an initial consultation (75 minutes) is $185, and my fee for subsequent individual therapy sessions (45-50 minutes) is $150. For a 60 minute family therapy session, my fee is $160. Payments should be made out to Laura A. Guli, PhD, Licensed Psychologist, PLLC.  I currently accept personal checks, cash, and all major credit cards.

Please click on the following links for consent forms and paperwork to bring to the initial session:

Child client consent form:         consent_for_minor.doc
45.0 KB

Adult client consent form:         Consent_for_Therapy_Adult.doc
45.0 KB

HIPAA privacy form:                 hipaa.doc
3 KB

Child history:                             Child_History.docx
42.0 KB

Adult history:                             History_Adult.docx
44.0 KB

Financial contract:                      billing_contract.doc
28.5 KB

Consent to release information:  consent_for_inforelease.doc
26.5 KB

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