Patient Resources

Patient Resources

Find intake forms, fees, payment information, and simple guidance for preparing for your first session. Forms can be completed before your appointment so the first meeting can feel more settled and focused.

Forms

Intake forms and documents.

These documents help Kelly understand your needs and explain the practice policies before care begins. If a form is not yet available to download, reach out and Kelly will send the right paperwork directly.

New Client Intake Form

Share basic history, contact information, and what brings you to therapy.

PDF
Download
Consent for Treatment

Review practice expectations, informed consent, and client rights.

PDF
Download
Privacy Practices (HIPAA)

Learn how your health information is protected and used.

PDF
Download
Telehealth Consent

Complete this if you plan to meet virtually from Kentucky or Ohio.

PDF
Download
What to Expect

Before your first session.

Intake paperwork gives Kelly the basic information needed to begin thoughtfully. You do not need to have everything figured out before you arrive — the first conversation will help clarify what support should look like.

  • Complete requested forms before your first appointment when possible.
  • If you are unsure what applies to you, bring questions to the first follow-up or first session.
  • Kelly will review fit, scheduling, fees, and next steps before ongoing work begins.
Fees & Payment

Clear rates, simple billing.

Most clients begin with weekly sessions. Payment is typically due at the time of service unless another arrangement has been made.

Individual Therapy
$150
50 minutesper session
Couples Therapy
$175
50 minutesper session
Cash pay only
Family Therapy
$200
50 minutesper session
Cash pay only
Co-parenting Therapy
$225
50 minutesper session
Cash pay only

Payment information

Credit/debit cards, HSA/FSA cards, ACH bank transfer, cash, and check are accepted. Kelly is in network with select plans, and can provide superbills when appropriate.

Policies

Please provide at least 24 hours notice for cancellations when possible. Late cancellations and missed sessions may be billed according to practice policy and your signed consent forms.

This practice contact form and email are not monitored for emergencies. If you are in immediate danger or experiencing a crisis, please call 911, go to the nearest emergency room, or contact 988 (Suicide and Crisis Lifeline) for immediate support.
Ready to get started?

Ready to get started?

Use the appointment request form to share what you are looking for, or contact Kelly directly with questions about forms, fees, or fit.

Contact Kelly