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Self Pay

Kirsch Therapy offers competitive pricing and discounted rates for time-of service payments. We offer a variety of programs to meet your family's needs. Please contact us to inquire about current evaluation and therapy rates.


Insurance Information

We accept:

New Patient Information

Please print these forms, fill them out, and bring them with you to your office visit.


The New Patient Packet  includes these files:

  • Consent to Treat
  • Evaluation Questionnaire - Child
  • HIPAA Medical Release
  • Patient Information
  • Release of Information