Forms & Fees

New clients -  we do not process credit/debit cards at our office, so you will need to pay with cash or a check (payable to MTA).

Click here to download Adult Intake Packet

Click here to download Parent Intake Packet (To be completed by parent of child or adolescent)

Click here to download Adolescent Intake Packet (To be completed by adolescent, in addition to parent completing above document)

Although I am no longer filing insurance or accepting insurance network discounts, you may still be able to utilize your benefits.  Check with your insurance company about your mental health out-of-network benefits.  I am always happy to provide you with detailed receipts of our session, which include all the information and codes your insurance company will require for filing purposes.  Many of my clients file for direct reimbursement from their insurance provider, and companies are increasingly making this a simpler online process for their members.

My current rate is $120 per 5o minute therapy “hour.”  I do maintain a limited number of client hours at a reduced rate for those with minimal financial means and a high motivation to grow.

Please do not hesitate to call my office at 225-753-7773, my cell at 225-333-1582, or email me at roger@hopeforyourfamily.com if you have any questions regarding my hours or fees.  You can typically expect a quicker reply via email, but you are welcome to contact me whichever way is best for you.  No worries about calling my cell phone – I wouldn’t give it out if I minded you calling.  If I am not available to take a client call or other inquiry, I will simply let my voice mail provide you the opportunity of leaving me a message.

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