Privacy and Cancellation Policy
Privacy and Cancellation
The law protects the relationship between a client and a psychotherapist, and information cannot be disclosed without written permission.
Exceptions include:
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Suspected child abuse or dependent adult or elder abuse, for which I am required by law to report this to the appropriate authorities immediately.
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If a client is threatening serious bodily harm to another person/s, I must notify the police and inform the intended victim.
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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.
Cancellation Policy
If you are unable to attend a session, please cancel at least 48 hours beforehand. Otherwise, you will be charged a $80 no show, cancellation/late cancel fee.
No Surprises Act
Effective January 1, 2022, the No Surprises Act, which Congress passed as part of the Consolidated Appropriations Act of 2021, is designed to protect patients from surprise bills for emergency services at out-of-network facilities or for out-of-network providers at in-network facilities, holding them liable only for in-network cost-sharing amounts. The No Surprises Act also enables uninsured patients to receive a good faith estimate of the cost of care.
You have the right to receive a “Good Faith Estimate” explaining how much your medical treatment will cost.
Under the law, healthcare providers are required to give patients who don’t have insurance or who have opted out of using their insurance an estimate of the bill for medical items and treatment 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 costs related to medical tests, prescription drugs, equipment, and hospital fees.
Make sure your healthcare provider gives you a Good Faith Estimate in writing at least one business day before your medical treatment. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
If you receive a bill that is $400 more than your Good Faith Estimate, you have the right to 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 cms.gov/nosurprises or call 1-800-MEDICARE (1-800-633-4227).