Services provided include diagnostic evalutations and individual, marital and family therapy.  Dr. Ruffing provides services on a fee per service basis and all fees are due at the time services are rendered. Please contact the office to learn about specific fees for services desired. A CMS 1500 or HCFA 1500 can be provided if you would like to bill your insurance company yourself. It may benefit you to call them prior to your appointment to determine if services are covered and to what extent.