DIANE GLEIM LICENSED MARRIAGE AND FAMILY THERAPIST AASECT CERTIFIED SEX THERAPIST & SUPERVISOR
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Individual & Couples Sex Therapy

Fees

Individual Therapy - $185 per session. Generally sessions are 50 minutes long unless we make other arrangements.
Couples Therapy - $185 per session. Generally sessions are 50 minutes long unless we make other arrangements.

I do not accept insurance.
PLEASE NOTE: As of June 2021, I am now seeing clients either over Zoom (teletherapy) or in-person.
​

Please review this form to see if teletherapy is right for you:   
​    Teletherapy Considerations for Clients
New Client Paperwork
​

​Once we have scheduled an appointment I ask all new clients, including initial assessments, to complete the forms below.  If any question is confusing or does not apply to you, simply leave it blank.

​       Client Contact Sheet
       2023 Informed Consent
       Teletherapy Informed Consent
       General Questionnaire
       Sexual Health Questionnaire
​       Authorization to Release Confidential Information
​

No Surprises Act/Good Faith Estimate Information:

       No Surprises Act/Good Faith Estimate Notice
Contact Me
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DIANE GLEIM  
LICENSED MARRIAGE AND FAMILY THERAPIST 
​​LIC #44429 / AASECT CERTIFIED SEX THERAPIST & SUPERVISOR 
​SONOMA COUNTY, CA
320 10th Street, Suite 302,
​Santa Rosa, California  95401
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