Application for Therapy

(This page, and the following, are confidential and private)

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Which of the following best describes your current relationship status?

Please tell us a little bit about yourself, so that we can better understand your situation.

Can you tell me about yourself, and why you are looking for guidance at this time?

Since I only have a limited number of spots available, what you are looking to achieve as we work together?

Again, please be as detailed and specific as possible. What's your vision or dream here? What would you define "success" as?

As mentioned before, spots are limited, only because there's only so much space available in the schedule. Why should we consider accepting you for one of those spots?

What makes your readiness for this work unique or apparent?

The private pay rate for counseling sessions is $125/50 minute session for individual counseling and $175/50 minute session for couple/family counseling. The insurance plans accepted by Josh are listed below. If yours is not listed, it is possible you may be eligible for out-of-network reimbursement through your insurance plan. Once you complete the questionnaire, you will be take to a screen where you can select to verify out-of-network coverage.

Josh currently accepts the following insurance:

Check the box indicating which insurance coverage or payment option you will be choosing.

Waitlist

Josh currently has a waitlist for new clients. If you would like to be added to the waitlist, please check the box below. While on the waitlist, you will receive regular updates until a spot becomes available.

In the meantime, we will also provide you with a list of trusted counselors should you wish to begin therapy sooner.

Please note that it is challenging to estimate when a spot may open up, as the length of treatment varies for each client. You may remove yourself from the waitlist at any time by clicking the link provided in the emails you receive.

Almost There...

Final (and Most Important) Step!

CHECK YOUR EMAIL!

Josh values understanding your situation before moving forward with therapy services. If there is no waitlist, you will receive an email with a link to schedule a free consultation.

  • For couples/family counseling: All participants must be present for the consultation, which can be done via Zoom or in person.

  • For individual counseling: Consultations are conducted via phone call.

NEXT STEPS

STEP 1

Check your email for either a waitlist confirmation or an invitation to schedule your consultation.

STEP 2

Follow the link in the email to schedule your consultation at a time that works best for you. You’ll receive appointment reminders via text or email.

NEXT