Forms and Fees

Fees and Insurance

I am an out-of-network provider.  I provide a superbill for you to submit to insurance companies for reimbursement. I also work with Lyra benefit and EAP benefit.

If you choose to pay out of pocket and not get reimbursed, you are entitled to receiving a Good Faith Estimate, a document that explains your cost (please see form section). Please also note that anyone can request a Good Faith Estimate.  

 

My rate for individual therapy is $130-145 per 50-minute session. Payment is due at the beginning of each session.

I offer a limited number of sliding scale fees to make counseling as accessible and affordable as possible. Please reach out about this if you are in need.

If you are interested in scheduling a free consultation, please email erjing@erjingcuicounseling.com or call 857-323-2188. Leave a message with your number and the best times to reach you. 

My Forms for Intake

Confidential Intake Form 

Good Faith Estimate 

PHQ-9- English

Beck Anxiety Inventory (BAI)

Y-bocs Scale