Maria C. d'Avella, MFT
Psychotherapist

The following forms can be completed and brought to the first session
(please note: you will need Adobe Reader to view these forms)

Client Information

Child Client Information

Consent to Therapy: Client Rights and Responsibilities

HIPAA Notice of Privacy Practices

Fees for Psychotherapy Services

Authorization to Release and Obtain Confidential Information

Fees:
45 minute sessions: $125
60 minute sessions: $150

A sliding fee scale is available.

Diagnostic, couple, and family sessions are 60 minutes.
Individual sessions vary.

Insurance accepted:  HMSA, HMSA Quest, Aloha Care, UHA, HMA, HMAA, TRICARE, Ohana Health Plan

Please phone for an appointment.