Informed Consent/Limits to Confidentiality:
All our work together, spoken or written, is confidential and protected by client privilege. I will protect and honor your privacy however there are some exceptions and it is important that you understand them.
If I believe there is a risk that you may harm yourself or another person, I may be required to contact the authorities.
If you report the abuse of a child or elder person, I am required to notify the authorities.
If you file an insurance claim for our work together, I may be contacted by your insurance company to provide information regarding your diagnosis, treatment and progress.
If you sign a specific release of information that authorizes me to speak to another party such as your physician or a family member.
Practice Policies: Our sessions will last 55 minutes. My fee is $200 for individuals and $250 for couples and families.
Payment is due at the end of your appointment. I accept Venmo, Zelle and personal checks.
I am in network with United/Optum/Oxford. I am out of network with all other insurers and will provide documentation for you to file with your insurance company for reimbursement.
If you are unable to make your appointment, 24-hour notice is required.
If I believe your treatment requires specific training I do not possess, I will discuss it with you and make the necessary referral with your permission.
My practice is conducted in accordance with HIPAA guidelines. If you have any questions or concerns about informed consent, confidentiality or practice policies, please do not hesitate to ask.
