FEES
Please contact me to inquire about my current fees. The fee will be determined during the initial phone consultation. Clients are expected to pay at the time services are rendered.
PAYMENT METHODS
I accept cash, check, credit card, PayPal, Zelle and Square Cash payments.
INSURANCE
I am an in-network provider with PacificSource and First Choice Health. Otherwise I am considered an out-of-network provider and can provide you with a monthly Superbill to submit to your insurance to seek reimbursement for psychotherapy services. In this case it is your responsibility to verify your eligibility with your insurance company. You are expected to pay your full fee at the time of your visit and will be held responsible for all payment of fees for your therapy. Any insurance usage is contingent upon meeting the criteria and regulations set forth by your insurance company.
CANCELLATION
I require 48-hour advance notice to reschedule or cancel an appointment. If you do not provide notice 48-hours in advance you will be charged in full for the session. Insurance companies do not pay or reimburse for missed session, so you would be responsible for the full fee in this circumstance.
AVAILABILITY & EMERGENCIES
I check my voicemail regularly. I make every effort to return calls within 24 hours or by the next business day, but cannot guarantee calls will be returned immediately. If you are experiencing a life threatening emergency or are feeling unsafe call 911 or go to your nearest emergency room. An additional resource is the National Suicide Prevention Hotline 1-800-273-8255.
CONFIDENTIALITY
What you share in your psychotherapy sessions is confidential and will not be disclosed to anyone without your written consent, except where required or permitted by law. Exceptions to confidentiality include, but are not limited to:
If there is evidence of or reasonable suspicion of child abuse and/or neglect, dependent adult or elder abuse and/or neglect.
If you intend to hurt yourself or threaten serious and imminent bodily harm towards a reasonably identifiable victim.
If you are utilizing insurance reimbursement some routine information may be given to your insurance company.
We will discuss my policies further when we meet in person, please ask me any questions or concerns you may have.
PAPERWORK REDUCTION ACT
Paperwork Reduction Act Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid Office of Management and Budget (OMB) control number. The valid OMB control number for this information collection is 1210-0169. The time required to complete this information collection is estimated to average 1.3 hours per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.
