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Click ALL statements that APPLY to help me understand what you're looking for.

you are not required to click any of the boxes before you submit the form

I’m just checking out your website and I’d like to hear more about how you work!

At this time, I’m looking for professional help that focuses on growth.

I’m looking for meaningful, intentional psychotherapy.

I’m looking for personalized psychotherapy sessions.

I live in UTAH or NEVADA.

I’m available for in-person or online sessions on weekdays, MONDAY to FRIDAY.

I understand that intentional psychotherapy is an investment, and I’m prepared to use my credit, debit, or HSA card for payment.

I understand that PRIVATE PAY sessions at Hearts at Home Counseling are $200 for a 60-minute session of intentional psychotherapy.

If I choose PRIVATE PAY, I understand that I must opt out of using my health insurance.

I understand that health INSURANCE typically covers 45 to 60 minutes of psychotherapy at the allowed rate. I am responsible for the full allowed amount until my deductible is met, and for any coinsurance after my deductible is met.

I am willing to take full responsibility for my health insurance VERIFICATION and accurate information.

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