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In-person or Telehealth
AMFT #144715
Appointment Requests
You are worthy of your own investment. I offer a sliding fee scale ranging from $120 to $150. I can provide a Superbill for services to present to your insurance. Medi-Cal FSS accepted.
Please complete the appropriate intake form and request form below to request an appointment for services. I will contact you as soon as possible to find a mutually convenient day and time.
Intake Forms
Print and complete the appropriate intake form. Scan the completed form and upload the signed form.
To e-fill & sign, you need Adobe Acrobat. Download here:
If you are unable to complete the form(s) online, bring the completed form(s) to your appointment.
Therapy is a way to find the courage to face your fears and to live a more fulfulling life.
-Irvin Yalom
Information provided by Dixie Fields Therapy
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