Yael Schweitzer, LCSW, BC-DMT: Mindfulness-Based Therapy in Portland, Oregon
Client Forms

If you have already scheduled an appointment, or are planning to, please review the forms below. You may download and print them using these links. Please bring completed forms to your first appointment.

Therapy Policies and Informed Consent Statement

Intake Registration



I am a preferred provider for several insurance companies and EAPs.
Please review the complete list of participating insurance companies and EAPs.
I can bill other insurance companies as an out-of-network provider.

Fees for my services are:

Service   Fee
Initial Session
(diagnostic interview)
60 minutes $165
Individual Psychotherapy 45 minutes $120 per session
Individual Psychotherapy 60 minutes $140 per session
Couples/Family therapy 60 minutes $150 per session
Group Therapy $50 per session
Extended phone conversations $140 per hour (prorated)
Reports/review of records $100 per hour


I offer therapy on a sliding scale to a limited number of clients.
If you are interested in my practice but cannot afford the fees listed, please contact me so we can discuss your options.