C. David Maxey, M.A.
Licensed Psychologist Associate
Clinical Child & Adolescent
Psychotherapy and Psychological Evaluation
in the Tigard Triangle near I-5
on 72nd Avenue at 217
(and Kruse Way)
or by Telehealth Video Call
I specialize in Clinical Child and Adolescent Psychology, including psychotherapy and psychological evaluation. My approach is rooted in applying research and assessment and also drawing from my experience over the past 21 years to thoughtfully select evidence-based treatments, including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), behavior management, collaborative problem-solving, and others. I invite you to talk with me, so we can find out if your needs and my services might be a good fit—the process for new clients is outlined below.
New Client Process
This New Client Process is for regular mental health services, starting with a diagnostic evaluation and typically leading to a course of therapy or evaluation. EAP (Employee Assistance Program) services are for brief psychotherapy, typically involving five or fewer appointments, and follow the New EAP Client Process that is simplified because EAP services do not involve making a diagnosis—you need to provide an EAP Authorization Code from your insurance to use EAP benefits, which cover the full cost of services.
★My online forms and questionnaires, file uploader, email, and video calls are powered by a special Microsoft account for healthcare with HIPAA security and a Business Associate Agreement to protect the privacy of your health information. My email is stored with these privacy protections, but email may not be a private way to communicate—I cannot guarantee privacy for email as it travels through the Internet to me or you.
New Client Request
Complete the online New Client Request★ form to provide some basic information.
Note that my office is considered a healthcare setting, and the Oregon Health Authority still requires masks in all healthcare settings. If you would like to have in-office appointments, please review the COVID-19 Agreement before our phone call. Scheduling in-office meetings requires 1) a discussion to decide together about meeting in-office and 2) a signed COVID-19 Agreement, which can be submitted through my online file uploader★ or by email.
Brief Phone Call
I will contact you to schedule an appointment for a free 10-20 minute phone call, so we can briefly discuss followup questions to help us both decide if your needs and my services might be a good fit.
Records
Records from previous providers and any other relevant information you have to share can be submitted through my online file uploader★ or by email.
You can also request that a previous provider send records to me by submitting a Release Form through my online file uploader★ or by email.
Questionnaires
The two parent questionnaires are important for the first appointment; if they are not completed by 8am on the day before the first appointment, your appointments will be automatically cancelled and might not be rescheduled.
The youth questionnaire for ages 11 years old and older includes a few questions about sex, drugs, suicide, and self-harm (similar to questions pediatricians ask during well-check appointments for those ages). Youth with thoughts of suicide or self-harm are encouraged to talk to a parent or trusted adult, or call the youth crisis line at 877‑968‑8491. Additional crisis line information is available on my Crisis Care & Lifelines page. In an emergency, call 9‑1‑1.
Parent Questionnaires (Required)
Complete both of these parent questionnaires.
- PDF Parent Questionnaire
It’s fine for only one parent to complete this printable or fillable PDF questionnaire, and submit it through my online file uploader★ or by email. - Online Parent Questionnaire★
One or both parents can complete this questionnaire easily using a phone, tablet, or computer.
Child and Youth Questionaires (Optional)
It’s helpful if children and youth 8 years old and older fill out a questionnaire, which can be completed easily using a phone, tablet, or computer. If anything is too hard, too long, too much, or whatever, please skip some or all of it.
- Online Child Questionnaire★
(for ages 8‑10 years old) - Online Youth Questionnaire★
(for ages 11 years old and older)
Agreement
Please review the Agreement before our first appointment. The Agreement is signed by parents and youth 14 years old or older. At the beginning of the first appointment, we will review the Agreement and any questions you have. Before we move on with the rest of the first appointment, the Agreement is signed, and it can be submitted as a PDF through my online file uploader★ or by email.
Appointments
Appointments are offered in-office or by telehealth video call, as appropriate. Video calls are provided using Microsoft Teams.★ Download and install the Microsoft Teams app for the best experience. The first appointment is focused on getting information from parents, and a video call is usually most convenient for parents.
First Appointment
The first appointment is usually up to 90-120 minutes, scheduled during our phone call, and for meeting only with parents—children do not come to the first appointment.
Second Appointment
The second appointment is 45 minutes, scheduled during our phone call or the first appointment, and for meeting with your child.
Fees and Insurance
My fees for psychotherapy are $175 for the first appointment and $110 for regular 45-minute appointments. If I am in-network with your insurance, the contracted rates are roughly similar, and I can review them with you before our first appointment.
- If I am in-network with your insurance, I will submit claims to your insurance.
- If I am out-of-network with your insurance, you can send your insurance a specific type of receipt called a “superbill” that I can provide to you upon request—it includes all the information insurance companies typically need to reimburse you (e.g., dates of service, billing codes, etc.).
- If you don’t have insurance or you are not using insurance, you have the right to receive a “Good Faith Estimate” explaining how much your health care will cost.
Payment is accepted on the date of service in cash, check, or Zelle sent through your bank’s app to info@cdavidmaxey.com. Zelle may not be a private way to pay (e.g., if you enter information in the memo field when sending a payment).
Families are asked to store a credit card on file to expedite billing when cash, check or Zelle payment is inconvenient for you. Cards stored on file and online payments are accepted as a convenience to you with an additional $4 fee.