FEES

It has always been my intention to make psychotherapy accessible to anyone (or everyone) who might benefit from psychotherapy counseling services. I am a behavioral health / mental health provider for the following insurance plans: Anthem Blue Cross, Anthem Medi-Cal, California Health and Wellness, MHN, Atnea, and Tricare West. Sessions are 50-60 minutes; fees vary based on co-pay, cash pay, and I am able to provide a sliding fee scale to make this soulful psychotherapy practice accessible to anyone. The private pay sliding scale ranges from $60.00 to $90.00, for cash and credit card charges, and can be arranged with me in advance. Payments are expected at the time of service. Cash or credit card payments are accepted for private pay, deductibles, or copays.

FORMS

Getting Started | Before your first session you will be required to access the documents necessary to consent to engaging in the process of psychotherapy. You must read, understand, agree, and electronically sign several types of consent forms, including: Informed Consent for Psychotherapy, or Consent to Telehealth Therapy, or Consent to Treat a Child, or a Release of Information, possibly a Credit Card Authorization when applicable. After making contact with Angela and deciding to choose Soulful Psychotherapy, you will be sent easy to complete HIPAA compliant jot form links to submit confidentially and directly to a private portal. You will be given access to the client portal and have options to schedule your appointments during the available hours. Angela can be available to answer any questions you have about the content of the forms.

New Client Intake Information | This intake form will allow you to share personal information about yourself or your child. Please include any and all pertinent information including previous diagnosis, current medication (please complete the ROI with your physician if you are prescribed medication for your symptoms), presenting problems, and any relevant and historical information.  

Informed Consent for Psychotherapy | This document describes my practice and policies with regard to my professional qualifications, approach to treatment, fees, scheduling, cancellations, and consent for treatment. When you sign this form, you are stating that you consent to my services and policies as described in the disclosure statement.

Consent to Telehealth Therapy | The required consent to teletherapy is necessary so that you fully understand the limits and challenges of delivering telehealth therapy via communication technologies (e.g. internet or phone) to facilitate diagnosis, consultation, education, treatment, and care management of a client’s health care.  

Consent to Treat a Minor | Before working with children and adolescents, caregivers must read this form and provide their signature(s) and submit this document of understanding. I intend to work collaboratively with caregivers in the treatment of their minor child while promoting the child’s autonomy.  

Release of Information |  When I need to consult with other professionals about our work together, I will ask you to download, print, read, and complete this form. This document gives me your written consent to share information about our work together with specific persons whom you designate.

INSURANCE

Angela Trathen M.A., L.M.F.T is a mental health service provider for the following insurance panels and currently accepting Anthem Blue Cross, Anthem Medi-cal, MHN, California Health and Wellness, and Tricare.

Out-of-Network | Most insurance companies have mental health benefits for out-of-network providers. I can help you understand the procedure for obtaining information about your out-of-network benefits. My fee is due at the time of service. Upon request, I can provide you with a statement at the end of each month which you can submit to your insurance company for reimbursement. Your insurance company may have a special form for such submissions which I am happy to help you complete.