F.A.Q.s

Is what we discuss in therapy confidential?

I take confidentiality very seriously and will handle all information you share with me with great care. You have the legal right to confidentiality in a therapeutic relationship and it is my responsibility to protect your information. In most situations, I will not disclose anything discussed in treatment without your written permission; however, there are certain exceptions in which I am legally required to break confidentiality. Those circumstances include:

If there is reasonable suspicion of the abuse or neglect of a child, elder, or a dependent adult. In that situation, I am legally required to file a report with the appropriate state agency.

If a client threatens to harm him/herself, I may be required to seek hospitalization for the client, or to contact family members or others who can provide protection.

If I believe that a client is threatening serious bodily harm to another, I am required to take protective actions, which may include notifying the potential victim, notifying the police, or seeking appropriate hospitalization for the client to ensure safety.

If a court of law issues a subpoena or if a client is being mandated to treatment by court order, certain information discussed in therapy may have to be disclosed.

How do I pay for therapy?

Payments are due at the time of service unless other arrangements have been made in advance. Payments can be made with cash or check. Rates for service will be discussed during your initial free phone consultation and will be agreed upon before your first session. Full fee for this practice location for individual sessions are $225/ 50 min session. Fees are readjusted periodically. Changes in fees will be discussed in advance. Sliding scale rates may be available; however, this is not guaranteed and, if agreed upon, will be reevaluated regularly throughout treatment.

I work as an “Out of Network” provider and can give you a receipt for services that you may submit to your insurance company for reimbursement consideration. Although many insurance companies do reimburse for therapeutic services, I cannot guarantee reimbursement. If you plan to use insurance, I encourage you to check with your insurance provider to determine what mental health benefits you have. 

Surprise Billing Protection Form

The following describes your protections against unexpected medical bills. It also asks if you’d like to give up those protections which could mean you may potentially pay more for “out-of network” care. IMPORTANT: You aren’t required to agree to this and shouldn’t agree to services with this provider if you didn’t have a choice of health care providers before scheduling care. You can choose to get care from a provider in your health plan’s network, which may or may not cost you less. If you’d like assistance understanding this, ask your provider or a patient advocate. Take a picture and/or keep a copy of this form for your records.

I am not in any health plan’s network and am considered “out-of-network”. This means I don’t have an agreement with your plan to provide services. Getting care from me may or may not cost you more than an “in network” provider. If your plan covers the items or services you’re getting, federal law protects you from higher bills when:

• You’re getting emergency care from an “out-of-network” provider or facility, or

• An “out-of-network” provider is treating you at an “in-network” hospital or ambulatory surgical center without getting your consent to receive a higher bill.

Ask your health care provider or patient advocate if you’re not sure if these protections apply to you. If you agree to services with this provider, please be aware that you may pay more because:

• You’re giving up your legal protections from higher bills.

• You may owe the full costs billed for the items and services you get.

• Your health plan might not count any of the amount you pay towards your deductible and out of-pocket limit. Contact your health plan for more information. Before deciding whether to obtain services from this provider, you can contact your health plan to find an “in-network” provider or facility. If there isn’t one, you can also ask your health plan if they can work out an agreement with this provider or facility (or another one) to lower your costs.

Good Faith Estimate:

My rate for services is $225.00 per 50 minute session unless we have made arrangements otherwise. By agreeing to retain my psychotherapy services, you can incur costs that your insurance will consider as “out of network” and therefore not be covered by “in-network” insurance coverage. Federal law requires I offer you a Good Faith Estimate of what you can expect for our time together.

As a strength-based and client centered practice, I empower clients to determine their own course of mental health treatment, (including but not limited to: frequency of treatment, length of service, additional services rendered, etc). Fees are paid at the rate of $225 per 50 minute session (unless we have arranged and agreed on a different rate). Therefore if you were to attend treatment 3 times a week for 52 weeks a year, your annual service estimate would equal $35,100. If you were to attend treatment monthly for a year, your annual service estimate would equal $2700. Below is a helpful calculator to determine cost of service depending on frequency of sessions you decide to book.

______ # of Sessions Annually X $225 Session Fee = Estimated Annual Cost of Services

These estimates do not include possible fees accrued for additional services requested by the client and rendered by this provider.

How often would we meet and for how long?

Individual sessions typically last 50 minutes and occur weekly; however, the specifics of this as well as the duration of treatment can vary depending on your needs, goals, and level of engagement in treatment and will be discussed and determined based on what best fits your needs.

What happens if I need to cancel or reschedule my appointment?

I ask for all cancellations or rescheduling at this practice location to be made 24 hours in advance of your scheduled session. If an appointment is missed or cancelled with less than 24 hours notice, I will need to charge for the missed session, except in the event of an emergency or natural disaster.

What do I do if I am in a crisis situation?

In case of a medical or clinical emergency, including a threat to your safety or the safety of others, please call 911 or go to your nearest emergency room.

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