Potential New Client Inquiry Form
Please answer the following questions and we will reach out to you with more information. 
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How did you hear about Anne? *
Name and pronouns  *
Email Address *
We can only see clients that are residents of Washington State or international residence. Are you a Washington or international resident?
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If you are in a relationship, has someone in the relationship suggested separation? *
Anne's primary therapeutic focus is sex therapy. Are you looking for sex therapy services? *
Anne is an Out of Network (ONN) provider. This means she does not take insurance. You can find more information about this on her site in the FAQ section under "Do you accept insurance?"   https://www.annemauro.com/fees-faqs

The fee for a 50-min session is $265, and it is due at the time of session. Would you like to proceed?
 *
We require clients to commit to a weekly or bi-weekly schedule. Here are our current openings. Please select which available time will work for you.  *
Would you like individual or relational therapy? *
If you are seeking ONN reimbursement, who is the primary insured? This person we need to be responsible for billing.
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If you would like relational therapy, please add your partner's name and email address. 
There is a $50 fee for a 20-minute consultation with Anne. Would you be interested in starting with a consultation or a 50-minute intake session ($265) to see if Anne is going to be a good fit for you? Please note you may be charged the full session fee if you late cancel (less than 48 hours notice) or no-show. *
Do you have any questions?
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