Forms

Forms

Please download, complete, and return the following forms:

1. Intake Form
2. Professional Disclosure Statement

Other forms that may be needed:

1. Authorization for the Release of Confidential Information
2. Parental Consent Form

Cancellation Policy

48-hour cancellation notice is required or you will be billed the full session fee. There are no exceptions to this policy.

Insurance

Jonathan does not accept insurance reimbursement. He will, however, provide you with the documentation needed to submit your sessions for out-of-network, outpatient mental health benefits. If you have questions about your out-of-network coverage, please contact your insurance provider.