Yes, I offer 15 minute video consults. The purpose of these brief meetings is to connect and answer questions that will help you feel comfortable getting started on your healing journey. There is no pressure to continue services following a consult, and this meeting does not establish a therapeutic relationship.

I’m committed to providing quality mental health care that is both accessible and sustainable. To balance these goals, I use a tiered fee system designed to serve clients with varying financial needs while maintaining the resources necessary to provide excellent care.

*Accessibility Tier — $160 per 50-minute session
This reduced fee is available on a first-come, first-served basis to clients seeking more affordable options. There is no financial documentation required to apply; spots are limited and filled in the order requests are received.

Sustainable Tier — $260 per 50-minute session
This is the standard fee that supports the ongoing costs of running my private practice, which includes access to Simple Practice for session management, Paubox end-to-end encrypted email subscription, Google Workspace, Zoom, SquareSpace Website Hosting, Square Space domain, Fast Fiber Powered internet, and more. Most clients pay this rate.

Overflow Tier — $320 per 50-minute session
This tier is available to clients who are able to pay a higher rate and are interested in supporting a Latiné Woman run practice that offers flexible fee options. These spots are limited and entirely optional. They are available upon request.

*Given that each tier has a certain capacity allotted to it, please note that the tier you register with at the onset of treatment will remain the same for the duration of our work together to ensure stability and access to care.

If affordability is a concern, I encourage you to reach out early through my Contact form, or via email (Romina@existnowtherapy.com) to inquire about availability for the Accessibility Tier. Because spots are limited and fill quickly, they are offered in the order requests are received.

Running a private practice involves many costs beyond session time—Multi-state license renewal fees, professional insurance, professional membership dues, continuing education, and administrative work all add up. This tiered pricing helps me:

• Offer therapy at a lower cost to those who need it

• Maintain a sustainable income to provide quality, consistent care

• Grow my practice responsibly

I’m committed to transparency and fairness. If you have questions about fees or availability, please don’t hesitate to ask. My goal is to make therapy accessible while ensuring I can continue offering high-quality care for all clients.

For Individual Therapy and Intakes: Your intake and follow-up sessions are scheduled just for you and to ensure you have a chance to build a solid therapy connection with your therapist, our session times are kept at regular days and times. This means that our reserved sessions cannot easily be offered to another client. To ensure clarity and fairness, please take a moment to review my cancellation policy:

• All late-cancellations and No shows are charged at the full session rate, if notice is less than 24 hours from the scheduled session time. If you would like to reschedule a session, then you will need to purchase an additional session.

• Please complete all rescheduling, and cancelations via the Simple Practice portal. Messaging me is appreciated, but will not remove the need for you to modify your appointment via the patient portal to avoid a charge.

• If you cancel on-time within the 24 hour window, then you will receive a 50% refund of your session rate, since there is a reservation fee for holding a time-slot.

Other situations where a partial refund cannot be provided:

• If you attend under the influence or drugs/alcohol.

• If you are in another state outside of CA or NV.

• If you are actively driving, or in a moving vehicle and unable to park within 15 minutes.

• If you are unable to obtain the privacy needed to conduct session, miss the appointment entirely, or attend 15 minutes past the grace period, then you may not be eligible for a 50% refund.

Thank you for understanding! This policy helps me keep my schedule fair and ensures that I can provide consistent, high-quality care to all clients.

Not through my practice, but I can offer Superbills.

If you would like to use insurance you are welcome to work with me through Headway, or Rula.