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Child/Teen Therapy

Parent-only Therapy

Adult Therapy

Parent Coaching (general)

Parent Coaching (ADHD specific)

Consultation (childcare, school, other business)

Clinical Supervision

Other

Planned-On Payment for Services

Regardless of payment method, credit card on file is required in order to receive services at Pathways Counseling & Wellness PLLC

Private Pay for therapy (not through insurance)

Use In-Network benefits for therapy (note your insurance company name in box above, please)

Use Out-Of-Network benefits for therapy (note your insurance company name in box above, please)

Private Pay for coaching (coaching services are not eligible for insurance reimbursement)

Private Pay for consultation or supervision (not eligible for insurance reimbursement)

Other