Office policies are explained in greater detail in the Informed Consent form. I will email you this Informed Consent and ask you to sign and return prior to your first appointment.
I accept payments for teletherapy via Ivy Pay, a HIPAA protected debit/credit card payment processing service, though I accept cash or check for in-person sessions. New clients are charged for our first session prior to our appointment time via Ivy Pay to guarantee your appointment time. After your first session, subsequent sessions will be billed within 24 hours of your appointment. Please contact me if you have any questions about billing or fees.
I am not contacted with any insurance carriers or Medi-Cal/Medicaid and I do not accept insurance for my services. I can provide you with a monthly statement (superbill) which you can submit to your insurance for reimbursement. I am usually able to provide a superbill within 48 hours of an email request. If your reimbursement claim is denied by your insurance carrier I can try to help, but because I do not have an insurance biller I am not able to sort out insurance issues. If you plan to use your out of network benefit, please be advised that you do so at your own risk.
For any scheduling issues, you may contact me by phone, text or email. For all clinical questions or concerns, please be advised that email and texting is not HIPAA protected. If you contact me via email/text, please do so only for scheduling purposes, and do not share clinical or protected health information (PHI). If I am not immediately available, please leave a message and I will return your call as soon as possible.
Cancellation Policy: Your scheduled appointment is held for you, and you are responsible for attending that appointment time. Cancellations require at least 24 hours notice prior to your scheduled session time. If your appointment is not cancelled within the required time period, you will be charged the full fee for your session.
I typically return calls and emails within 24 - 48 hours, but please be advised that I do not provide crisis services. In the event of a medical or psychiatric emergency, please call 911 to request emergency assistance. If you are having thoughts of suicide, please call the national suicide hotline at 988.
Good Faith Estimate:
You have the right to receive a "Good Faith Estimate" explaining how much your mental health services will cost and provide the total expected cost of any healthcare services, including therapy. Under this law, healthcare providers must offer clients who do not have insurance or who are not using insurance an estimate of the expected charges for services.
You have a right to end your care at ay time and payments are due at time of service. Because my fees typically only increase once yearly, and I notify clients in writing 30 - 60 days prior, there are no surprise fees.
(___ number of sessions) x ($200 session fee) = (total yearly fee)
But if you would like a Good Faith Estimate, either prior to or during our work, please let me know. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
If you have any questions about my office policies, I'm happy to answer them via phone or email.