© 2018 by Cynthia Kok Therapy, Inc.

Forms

&

Fee

​My office fee is $135.00 for a 50 minute session. I am an out-of-network provider for many insurance plans. Services may be covered in full or in part by your health insurance or employee benefit plan. 

You will be given a detailed receipt (often called a "superbill") at each session which you may submit to your insurance company for reimbursement. Call your insurance benefit line prior to your first appointment so that you are aware of what will be covered. 

I value accessibility to therapy services regardless of income level. Please inquire about a reduced rate, based on financial need and the availability of reduced-fee appointments.



You may pay for services with cash, checks, credit cards, and Health Savings and Flexible Spending Account cards with major credit cards.

If this is your first appointment, please print, complete, and bring the following forms to your appointment.