| Daniel J. Richard, Ph.D. Licensed Clinical Psychologist 1044 Central Street Stoughton, MA 02072 617-615-9402 |  |
Contracts
I have provided downloadable forms for your convenience. Please print, complete, and bring them with you to your first appointment.
Release of Information
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Fee Schedule
Please view my Psychology Today profile to determine if I am a provider for your particular health insurance. I may also be able to provide services for other plans if you have "out of network benefits." Getting Mental Health Coverage for Out of Network Providers If you choose to use your health insurance, please verify your out-patient benefits with your insurance plan prior to our first meeting (by calling the number on the back of your card).
Please bring your insurance card and copay to the first meeting.
I also accept Visa, Master Card, American Express, and Discover credit or debit cards (an additional 2.75% fee applies per transaction).
| Initial Appointment/Diagnostic Interview: (50-60 min) | $200.00 |
| Follow-up Sessions: (45-50 min) | $150.00 |
| Extended Session: (per 15 min) | $45.00 |
| Group Therapy: (90 min) | $60.00 |
| Family Therapy: (90 min) | $250.00 |
| Psychological Testing/Evaluative & Consultative Assessment: (per hr) | $200.00 |
| Court Appearances inc. travel, waiting time and expenses: (per hr) | $200.00 |
| Missed Appointment/Late Cancellation: | $100.00 |