Insurance
Services may be covered in part or in full by your health insurance or employee benefit plan. Please contact your insurance carrier for the following information:
1. Do I have mental health benefits?
2. What is my deductible and has it been met?
3. How many sessions per calendar year does my plan cover?
4. How much does my plan cover for an out-of-network provider?
5. What is the coverage amount per therapy session?
6. Is prior approval required from my primary care physician?
Payment
Cash and personal checks are accepted for payment.
Cancellation policy
If you do not show up for your scheduled appointment and have not notified the office at least 24 hours in advance, you will be required to pay the full cost of the session as booked.
Initial Session
Please review and complete the following form and bring it to your first session.
PRIVACY POLICY (CLICK TO OPEN)
If you would like me to coordinate care with another provider (for example, your psychiatrist or primary care physician, etc.) please review and complete the following form and bring it to your first session.
Confidentiality and Privacy Agreement
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 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 him 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 to ensure their safety.