Billing Details

As a pre-licensed professional, I cannot accept insurance. However, ask me about my sliding scale -- which closely resembles your typical co-pay.

Email me or call me at 484-202-0629 for more information.


Please print, sign, and scan (or take a photo of) these forms and return them to me via email or snail mail (see footer).
If you would prefer to have the forms physically mailed to you,
please let me know.