Forms & Rates
To expedite the process during your first visit, you may download and complete new client paperwork. If you are unable to access the paperwork, please arrive 15 minutes prior to your first session and paperwork will be provided at the office.
New client paperwork for Kristen Aycock, Ph.D.:
- Download Adult Paperwork
- Download Child/Adolescent Paperwork (ages 17 and younger)
- Download Release of Information Form
New client paperwork for Dimy Mixon, LMFT:
- Download Adult Paperwork
- Download Adolescent Paperwork (ages 17 and younger)
- Download Release of Information Form
Rates for Kristen Aycock, Ph.D. are $175 for a 45 minute session. Reduced rate services are available on a limited basis.
Rates for Dimy Mixon, LMFT are $125 for a 45 minute session. Reduced rate services are available on a limited basis.
Although Perspectives Counseling does not accept insurance, we are happy to provide you with the necessary paperwork to file for out of network benefits. Contact your insurance company for details.