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    • Home
    • About
    • Services
    • What to Expect
    • Contact
    • Specialties
    • Forms
    • Blog

  • Home
  • About
  • Services
  • What to Expect
  • Contact
  • Specialties
  • Forms
  • Blog

Forms


Please download and review all these forms prior to the first session. Only the Intake Form is required to be printed and completed.


Intake/Insurance Form (pdf)Download
Informed Consent (pdf)Download
Privacy Notice (pdf)Download
Consent to Release Info (pdf)Download

Fees

 

Session Fee:
Individual Session Fee (60 minute session) $135
Couples/Family Session Fee (60 minute session) $155
Consultation Fee $85/hour


Insurance Accepted:
I am currently an In-Network Provider with:
Blue Cross/Blue Shield of Illinois
Aetna
Cigna
Magellan


Cancellation Policy:
If you must cancel an appointment, please call within 24 hours prior to the scheduled appointment or the full session fee will be charged.  Insurance companies can not be billed for missed, or cancelled sessions.

Copyright © 2018 Alison McGannon, LCPC - All Rights Reserved.

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