2024 Consultation Request
Thank you for your interest in receiving psychotherapy services at Talks with Tecii LLC.
Services are only available for clients located in Colorado, Florida and Oklahoma.
Please take the time to complete this entire form.
This form must be completed before scheduling your free 15 minute phone consultation.
***Consultations are only available on Mondays and Fridays

Private pay rates are as followed: 
  • Individual, $140/50 minutes
  • Family, $170/70 minutes
  • Group, $65/90 minutes (offered throughout year)
  • Limited sliding scale slots             
  • Oklahoma: Aetna, Cigna, Optum insurance, Private pay (United Health Care behavioral health provider)
  • Colorado & Florida: Aetna, Cigna, Private pay
  • Insurance is not accepted in Colorado
  • Superbills (receipt of your services for possible insurance reimbursements) are provided upon request for individuals out of network

In Google anmelden, um den Fortschritt zu speichern. Weitere Informationen
Name *
Email *
Are you seeking psychotherapy services for yourself or another person?  If other, list the name and age of other person. *
What type of services are you seeking? *
Pflichtfrage
What state are you located in? Only accepts clients in CO, FL and OK.  *
A limited number of sliding scale options are available throughout the year. Would you be interested? (Note that sliding scales slots are not always available) *
Are you a full time college student? (Limited discounted slots are offered throughout the year) *
Are you interested in using insurance?  *
If you chose yes in the previous question, provide the name of your insurance. Also state if you are the primary insurer.
What are some things you would like to work on in therapy? *
Have you attended therapy before? *
Where did you hear about Talks with Tecii LLC? *
Would you like to be added to the email list to stay updated on all the latest updates and news from Talks with Tecii? (Can opt out at anytime) *
Thank you!
Once you have submitted your request, you can now visit, https://www.talkswithtecii.com/appointment to schedule your free consultation. If you have any questions, please email info@talkswithtecii.com.
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