Forms & Fees

Below are the fees associated with therapy at Houston Addiction Therapy:

Individuals: 50 minutes session, $150.00
Couples and Family: 80 minutes session, $160.00
Insurance:  Houston Addiction Therapy can provide form for submission to insurance company as out-of-network provider.
Payment types: Cash, Visa, MasterCard, American Express, Discover

Please download and complete the following forms and bring to your first appointment:

Download Forms Pt.1 Download Forms Pt.2

If you need to update Adobe Acrobat go to