Fees & Insurance


  • Initial Assessment - $135
  • Following Sessions - $95
  • *Special rates for church leaders assisting with the cost of sessions

We do not accept insurance. We can provide an invoice which clients can submit for insurance reimbursement for out-of-network coverage. Please be aware that using health insurance may result in some negative consequences. Many clients choose to pay for therapy instead of submitting their claims. Most insurance requires a medical diagnosis be included in the claim. Some diagnoses may negatively impact current or future health coverage and some job eligibility. Please check with your insurance company to learn about your coverage.

New Client & Intake Paperwork

Welcome to West Valley Counseling Center (WVCC), we look forward to being of service. Before filling out your WVCC paperwork please read the HIPAA Privacy Notice and WVCC Policies. Below are some forms we would like you to fill out and bring with you to your first appointment. Filling these out before you arrive will allow us to spend more time focusing on your concerns and goals in our first session.

Please bring the following completed forms:

For all clients:

In addition to the forms listed above, you may need the following forms depending on your situation.

The Adult Intake Form is for:

  • Adults seeking individual counseling
  • Each individual seeking relationship counseling

The Consent for Treatment of a Minor Form and Child Intake Form are for:

  • Patients under the age of 18

The Release of Information Form is for:

  • Patients whose sessions will be paid for, in whole or part, by a third party or entity
  • Patients whose sessions will be paid for by an ecclesiastical leader
  • Patients who would like to authorize a third party to receive personal information, such as court, legal guardian or spouse



  • West Valley Counseling Center
    Medical Plaza III
    13260 N 94th Drive
    Suite 106
    Peoria, AZ 85381
  • 602.842.4625