INITIAL CONSULTATION

Please download, print out, and complete these registration forms  prior to coming in for your initial consultation.  We will need to receive these before we can confirm your initial appointment.  If you are paying by check, please include a check made out to "Daniel Merlis":  $210 for individual consultation or $265 for couples consultation along with the completed forms.   War-zone veterans, firefighters, trauma nurses/physicians, and EMTs, police and federal security agents,  please include a check for $160 with the registration forms and detail the dates and nature of your service.  We ask for credit card information.  You may elect to use the credit card as the primary payment method, or as a backup when a check is not available or for other reasons.  If you are currently being treated by a psychiatrist and/or psychotherapist, please complete one one or more of the release forms so that we can contact your treating clinician(s) in the future if appropriate.  We will discuss this with you prior to making any contact and would do so only after our initital consultation.

You may, at your option, download, complete and return an assessment form which I will review (at no cost) before our initial consultation.  This can help us better understand the nature of your concerns and relevant background information. 

 If you are willing to participate in the Psychotherapy Training Project (PTP), you are eligible for a fee of $160  for individual psychotherapy sessions.  Please complete an audio-video consent form and include this with your registration forms.  

If you are unable to afford this reduced fee schedule, I will consider on a case by case basis an additional fee reduction.  Please complete this application form and mail it to me with the other registration and audio-video consent forms above.  I will consider your request and respond within several days.  I have a limited number of openings and you might have to consider joining a waiting list until an opening becomes available.