503-928-4182 info@CDavidMaxey.com
COVID-19 Notice: All services are being provided by video conferencing.

Psychological Services

I specialize in clinical child and adolescent psychotherapy and psychological evaluation, and I use cognitive behavioral therapy (CBT), which is an evidence-based psychotherapy, meaning that it is informed by scientific research. I draw from both classic and contemporary CBT techniques that have research support for their effectiveness. I offer after-school and weekend appointments at my office conveniently located in the Tigard Triangle near I-5 on 72nd Avenue at 217.

Fees

My fees for psychotherapy are $175 for the first appointment and $110 for regular 45-minute appointments.

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.

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 (e.g., using the links below) are accepted as a convenience to you with an additional $4 fee. FSA and HSA cards are accepted using the online payment links below.

Pay Online

$110
+$4 convenience fee
$175
+$4 convenience fee

Other Amount
add $4 for the convenience fee

Forms

Please complete the Questionnaire, and return it to me before your scheduled appointment, along with copies of past evaluations, relevant school information, report cards, standardized test scores, etc. The authorization form is an optional form you can use to allow me to release or obtain information from someone else.

Questionnaire

This questionnaire covers historical information to assist me in a thorough evaluation or consultation. I see children of all ages with differing problems, so some questions may be irrelevant to your child. You may ignore questions that do not apply or add additional details on the last page.

Authorization to Use and Disclose Protected Health Information

With this form, you can authorize me to:

For example, you might decide to allow exchange of specific information with a physician, psychologist, or school.