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

Telemental Health Informed Consent Form



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 $185
Individual Psychotherapy 45 minutes $140 per session
Individual Psychotherapy 60 minutes $160 per session
Couples/Family therapy 60 minutes $165 per session
Group Therapy $50 per session
Extended phone conversations $160 per hour (prorated)
Reports/review of records $120 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.