My sliding scale fee program is intended to increase access to psychological services for families who do not have insurance that I accept and who are experiencing genuine financial hardship. The goal is to help ensure that financial circumstances do not unnecessarily prevent children and adolescents from receiving needed care.
Eligibility is based primarily on household income relative to the Federal Poverty Guidelines and household size. For example, in 2026 a family of four would be considered for the sliding scale if the total gross yearly income is less than $96,450.
Because income alone does not always reflect a family’s overall financial resources or ability to pay, additional factors may be considered when determining eligibility or the appropriate fee, including:
- Liquid assets and other financial resources
- Significant medical or caregiving expenses
- Extraordinary financial hardship
- Other circumstances that substantially affect a family’s ability to pay
The sliding scale is intended for families whose limited financial resources result from circumstances beyond their immediate control. It is not designed to subsidize voluntary lifestyle choices, financial priorities, or decisions that intentionally reduce household income while sufficient financial resources remain available.
Because the number of reduced-fee appointments I can offer is limited, I strive to apply this policy consistently and fairly to all families. Eligibility may be reviewed periodically and updated if financial circumstances change.
