Practice Policies

Cancellation and No-Show Policy

The full fee will be charged for any session missed or canceled without 24 hours (1 business day) notice.

Your clinician sees a fixed number of clients each week. Once you schedule an appointment, that time is reserved exclusively for you. Therapists need to be able to rely on these scheduled appointments. For any appointment missed or canceled with less than the required 24-hour notice — for any reason — clients will be charged the full rate for that session.

Missed or late-canceled appointments are not covered by your health plan and cannot be billed to your insurance company.

If you have any additional questions, please discuss them with your individual therapist.

In Case of Emergency

In case of a mental health emergency, please contact me directly at my office. If I don’t answer, leave a message describing your emergency. Please note that there is a charge for phone consultations and insurance companies are unlikely to reimburse this service.

In extreme emergencies, go directly to your local emergency room.

You may also call or text 988 to reach the Suicide & Crisis Lifeline.

Client Records and Confidentiality

Clients are assured of confidentiality, which is protected by ethical practice and law. In general, the law states that all communication between a licensed practitioner and his or her client is confidential. Any information shared will require your signed consent except where disclosure is required by law.

Some legal exceptions to maintaining confidentiality are:

  • Federal regulations allow me to disclose necessary data from your record in order to obtain payment from your insurance company.
  • If I have reason to suspect a child or vulnerable adult is being abused or neglected.
  • If, to the best of my professional judgment, I believe you may be an imminent danger to yourself or another.
  • If you make your own mental or emotional health an issue in a court case.
  • If your account is overdue and arrangements for payment have been negotiated, a collection agency will be provided with the dates of service, type of service provided, and total amount due.

My HIPAA and privacy practices explain in detail how medical information about you may be used and disclosed.

Your Privacy Rights

Please review the practice policy signed prior to the start of treatment. You can access this via the client portal.

If, in your opinion, I may have violated your privacy rights, or if you disagree with a decision I made about access to your PHI, you are entitled to file a written complaint with me at my office address. You may also send a written complaint to the Secretary of the Department of Health and Human Services within 180 days of a violation of your rights. I will not take retaliatory action against you for filing a complaint.

If you have any questions or need further assistance regarding this notice, please contact me.