Name *

First Name

Last Name

Phone *

(###)

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What are you interested in addressing? (Check all that apply) *

Trauma

Depression

Anxiety

Couples/Marriage Counseling

EMDR Therapy

Relationship Issues

Self-Esteem/ Self-Worth

Burnout/Stress Management

Life Changes/ Transitions

Grief/Loss

Teen Therapy

Attachment issues/Codependency

Hypnotherapy

Other:

What is your preference for sessions? *

In-Person

Virtual

Open to either option

Payment Acknowledgment *

At Thrive Mental Health Las Vegas, we want payment to feel simple and stress-free. While we do not accept insurance directly, you’re welcome to pay using cash, debit, credit, or your HSA/FSA card. We can also provide a superbill if needed. You can check with your insurance about possible out-of-network reimbursement. Individual Session: $120 (50 min) Couples Session: $135 (50-80 min) EMDR Intensives: $120 (50 min) $225 (1.5 hrs) $300 (2 hrs ) $425 (3 hrs) $550 (4hrs) Hypnotherapy: Clinical Hypnotherapy sessions are $150 per hour. For best results, many clients choose a discounted package for consistency and deeper progress over time. Sliding scale may be available, please inquire.

Yes, I understand