Forms and Fees

Please print and complete these forms for your first session. I will also have them available for you to fill out at the session.

Client Information
HIPPA

Disclosure Statement

Equine Liability Release

EAP session (55-75 minutes) - $120

Non-EAP session (farm or office, 45-50 minutes) - $100

Half and full-day equine therapy sessions for families, groups, and individuals can be arranged for those looking for a greater in-depth experience or have time constraints that limit regular sessions. Please contact me for more information.

I accept cash, check, and credit/debit cards.

Insurance Information

I do not bill insurance directly and am not on any health insurance panels. Payment is due at time of service. If requested, I will provide you with monthly invoices (superbills) to submit for reimbursement or application to a plan deductible. 

Reimbursement is not guaranteed. Please check with your health insurance company to determine out-of-network eligibility and to make sure you do not need prior-authorization for services.

Some good questions to ask include:

* Do I have out of network mental health benefits?
* What is my out of network deductible? Has it been met?
* How many therapy sessions per calendar year does my plan cover?
* What is the coverage amount per therapy session?
* Is approval required from my primary care physician?

I have a few reduced fee sessions available each week for individuals registered with Open Path Collective

Equine Assisted Psychotherapy  |  Liza Chartier, LPCA  |  919-990-3412  |  equineamity@gmail.com  |  Raleigh & Wendell, NC