Fees:
The fee for a psychotherapy session for individual or couples is $150.00, payable at the time service is rendered. A sliding scale is available for those who can demonstrate they cannot afford my full rate.
Insurance:
I am in-network with the following insurance panels: Aetna, Avmed, Evergreen (formerly Cigna), Espyr, Meritaine, Magellan, Managed Care Concepts, Optum, and United. If you do wish to use your insurance but do not see your insurance listed, you may still be able to see me using your out-of-network benefits. You will need to check with your insurance provider if you do have those out-of-network benefits.
Cancellation Policy:
If you do not show up for your scheduled therapy appointment and you have not notified us at least 24-hour in advance, unless it is due to an illness or emergency, you will be billed a fee of $50.00.
Good Faith Estimate:
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises
Client Forms:
Please be sure to complete the following forms prior to our first session. This will allow us to spend more time in our session focusing on what is important to you.
Confidentiality & Privacy Policy
The law protects the relationship between a client and a psychotherapist, and information cannot be disclosed without written permission.
Exceptions include:
- Suspected child abuse or dependent adult or elder abuse, for which I am required by law to report this to the appropriate authorities immediately.
- If a client is threatening serious bodily harm to another person/s, I must notify the police and inform the intended victim.
- If a client intends to harm himself or herself, I will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.