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Forms and Resources

Patient Forms

Please click on the links below and fill out the required forms prior to your first visit.

 

  • Individual Therapy

    •  Click on the Client Intake Form and Client Disclosure Form: Individual

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  • Couples or Family Therapy

    • Click on Client Intake Form and Client Disclosure Form: Couples and Families.

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  • Group Therapy

    • Click on Client Intake Form and Group Therapy Consent Form. 

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Send completed forms to Benita Weems. Click on the email link below:

Therapy Fees

Individual Sessions

$250 per session (approximately 50 mins)

Group Therapy

$100 per session (depending on class and class size 60-120 mins)

Couples and Family Therapy

$275 per session (approximately 60 mins)

Private Pay

I do not accept insurance and am a Private Pay practitioner. However, I do offer a superbill for out-of-network benefits. I cannot guarantee that your insurance will reimburse you, but many of my clients receive some reimbursement, and I will provide you with the necessary documentation. However, the financial responsibility is the client's regardless of insurance. I do accept HSA/FSA. 

Recommended Resources

As a leading professional mental health counselor, I know what exceptional care means - that’s why I offer my clients a wide range of useful information. Feel free to explore these complementary resources we have listed below, and educate yourself at your convenience wherever you are. 
 

Books

Boundaries by Henry Cloud

Emotional Vampires: Dealing with People Who Drain You Dry by Albert Bernstein

Websites

Self-Compassion 

Dr. Kristen Neff

Podcasts

The Hilarious World of Depression

PopCulture Therapists

Shame Informed Therapy by Patti Ashley

© Holding Hope Therapy 2022

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