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Forms | Disclosures | Fees

Home Forms | Disclosures | Fees

Impact Counseling & Support Services LLC (ICSS) offers our form(s) online for you to complete at your convenience. Please click on the necessary form(s) below, print, fill in the required information and schedule your appointment.


Disclosures


Distance/Video Counseling: Learn more about Distance Therapy!

Professional Disclosure: Professional Disclosure Statement

Fees


Individual Counseling & Support Services

  • Starting at:
  • $120 for 60 minutes
  • $90 for 45 minutes
  • $60 for 30 minutes
  • +$30 for other attendees in session

    • Group Counseling:

      Fees would be dependent on group size, topic & location.

      Co-Parenting Classes:

    • $75-$100 per person/per class

    • Parenting Coordination & Mediation

      • Starting at:
      • $175 for 90 minutes per couple
      • $120 for 60 minutes per individual
      • $60 for 30 minutes per individual

      Note: Parenting coordination services will require a minimum $1,000 retainer upon receipt of court order & signed contract.