The client is responsible for payment of fees. Payment is due at the time service is rendered.
Cash, check and all major credit cards accepted for payment.
There will be a $35.00 charge on all returned checks.
If you do not show up for your scheduled therapy appointment, and you have not notified us at least 24 hours in advance, you will be required to pay a cancellation fee for the cost of the session. Additionally, if you have a standing appointment (a set recurring appointment) weekly and you cancel or fail to attend, unless you call and give notice you will be charged for the upcoming appointment.
FORMS AND DOWNLOADS
- New Client Intake
- Professional Disclosure
- HIPAA Privacy Act
- Permission to See Minor
- Couple History Assessment
- Credit Card Release
We do not accept insurance and will be considered an out-of-network provider by your insurance carrier. You will need to check with your carrier to determine out-of-network benefits and how your coverage could be used for the cost of your care. If you determine that you can use your insurance coverage, we will provide you with documentation needed to file with your insurance company.
While our office will do everything possible to help you with information about your insurance benefits, it is ultimately your responsibility to manage your health care benefits.
For further questions about how insurance works and the pros and cons of using it for mental health benefits, please email the office or call at (281)968-9119.