Register

Registration is only required if you do not have a username. Please check your spam & junk mail folders to ensure you have not already received an email with a username and password. If you already have a username log in here

Each account must have a unique email address associated with it. Please contact us if you need multiple accounts with the same email address (i.e. related family members).

SERVICES

1) LESBIAN COUPLES COACHING**
**Preferred Service**
AVAILABLE TO ALL LESBIAN COUPLES

LEARN TO:
-- communicate accurately and effectively
-- identify and regulate your emotions
-- repair hurts and resentments
-- complete coaching forms 1-2

2) LESBIAN COUPLES COUNSELING
-- requires mental health diagnosis
-- Indiana residents only
-- complete counseling forms 1-4

Client Type

Client Information

/ Middle Initial

( optional )
 
( Must be at least 18 years old )
( MM-DD-YYYY )

( optional )
( optional )







( for Text Message Reminders )

Emergency Contact


First Name
Last Name
Phone
Mobile
Relation
Email
Street Address
City
State
ZIP Code

Log in Details




Between 8 and 40 letters and numbers

Challenge Questions

( These will be used to retrieve your password. Answers must be between 4 and 30 characters, cannot contain any spaces. )




( If you feel you must write down your questions in order to remember them, make sure to keep it in a safe place. )

Terms and Policy

FEES
Effective APRIL 25, 2022
* $145 for 45 minutes
* $225 for 80 minutes
* $325 for 120 minutes

* 50% charge for all missed appointments or late cancellations
* $25 charge for returned checks

PAYMENT IS DUE PRIOR TO THE START OF EACH SESSION unless other arrangements are made. Accepted payments are payable by Visa, MasterCard, Flex Card, Health Reimbursement Funds Checks or Cards, personal check or cash as well as paypal.com (paypal.me/omaram). Checks are payable directly to Michele O'Mara, PhD.

The credit or debit card on file will be automatically charged for late fees, no-show fees, and outstanding session fees.
( Type Full Name )
( Full Name )
CANCELLATIONS and MISSED APPOINTMENTS
Appointments must be cancelled at least 36 hours in advance of the scheduled appointment time. Failure to provide 36 hours notice will result in a "Missed Appointment" charge. The fee for missing an appointment is 50% of your session charge. Late cancellations due to unusual circumstances (I.e. Illness, accident, etc..) will NOT be considered "Missed Appointments."
( Type Full Name )
( Full Name )