Fees and Cancellation Policy

Session Fee

 All verbal or written time/work for individual, couples, or family sessions is billed at $135/ per/ 45 minute session. (If I am a provider for your insurance company than my rate is the agreed upon rate with that company and your contracted co/pay and/or deductible fee).  Fees/copays/deductibles are due at the time of the session, or if you wish, they may be automatically billed to your credit card on what is typically a twice monthly basis.  Please indicate which you prefer. Use of credit cards requires payment of transaction fees.

Telephone Calls

• Telephone consultations and any other related phone calls requested by you to other professionals are billed at $25.00/ per 15 minutes.  Telephone calls under 5 minutes duration are not charged.

• Coordination of care contact with health professionals is not billed.  

You may leave a message for your therapist at any time at the office.  If you wish your therapist to return your call, please be sure to leave your name and phone number(s), along with a brief message concerning the nature of your call. Non-urgent phone calls are returned during normal workdays (Monday through Friday) within 24 hours.  If you have an urgent need to speak with your therapist, please indicate that fact in your message and follow any instructions that are provided by your therapist’s answering service. In the event of a medical emergency or an emergency involving a threat to your safety or the safety of others, please call 911 to request emergency assistance. Your therapist does not return calls on Saturday or Sunday unless it is an emergency.  Emergency contact no. is:  805-501-3747  

Texting and Emails

Unlesss it is urgent, texts sent on the weekend are not responded to until the following Monday. Please do not text me before 7AM or after 9PM during the the week, unless it is urgent

 

Non-Session Fees

All letters and reports that the client request the therapist to generate are billed at $135.00/Hour. There is a $50.00 additional charge for a deadline within one week of the request.

 

Cancellation and Missed Appointment Policy

A scheduled appointment means that time is reserved only for you.  If an appointment is missed or canceled with less than 24 hours notice, you will be billed according to the scheduled FULL fee or according to the rules of your health plan. Monday appointments must be cancelled by Friday. Frequent cancellations may result in the termination of your treatment and referral back to your Health Plan; your compliance in keeping appointments and active participation in the treatment process are vital. Account will be charged directly to all clients who do not show up for or “late cancel” an appointment. 

Late Arrival

I understand that if I am late for my appointment time missed is considered part of the treatment sesssion and cannot be added onto the end of the session.

Collections

I understand that, without disclosing confidential information, my therapist can submit my account for collections and/or report it to credit agencies, if the bill goes unpaid or becomes delinquent.

 

I have read and understand the above fee structure, and agree to the terms, amounts, and conditions