Fee Schedule – David Richardson

CODESERVICE DESCRIPTIONFEE
90791Initial Assessment by Therapist$175
90834-7Individual Psychotherapy 45-50 minutes$135
90846-7Family Therapy 45-50 minutes$135
Records RequestRecord Retrieval$25 + $.25/page over 10 pages
Records RequestRecord Retrieval 1-2 day Service$35 + $.25/page over 10 pages
Court FeesPrep Time (billed in 15 min increments)**$200/hr
Court FeesCourt Time (minimum of 4 hours)**$400/hr

**50% of estimated court fees must be paid prior to testifying; this is used as a retainer. Please note that Place of Service (in office vs telemental health) is not delineated above since the charges are identical.

Please note that the fee schedule above is by no means a comprehensive list. The majority of appointments utilize the codes and fee structure above, though changes may occur depending on the complexity or type of appointment. We will do our best to discuss such changes with you ahead of time.
IMPORTANT: You do not have to sign this form. However, if you do not sign, this provider or facility might not treat you.
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