Fees and Policies
A limited number of sliding-scale slots are available and are offered solely at my discretion. If you wish to be considered for a sliding-scale fee, please discuss this with me prior to scheduling your first appointment. You will also need to complete and submit the Sliding-Scale Fee Application/Policy (click HERE), along with copies of your two most recent pay stubs, or, if self-employed, a copy of the first two pages of your most recent federal income tax return. Prior to scheduling your first appointment, please either fax or email me the completed Sliding-Scale Fee Application, along with the other required financial documentation at (832) 582-6071 or firstname.lastname@example.org. Once I have this information, I will let you know what the standard session fee will be after the initial consultation. In all cases, the initial individual consultation is $195 and the initial couples consultation is $250.
There is an additional fee for a copy of your medical records. Additional fees for preparation time for reports, forms or documents required by your insurance company or any other party (given with your written consent), other than those normally kept as part of your client record, will apply. Additional fees will also apply for clinical consultations with other treatment (or legal) providers and will only be conducted with your written consent. A fee schedule for the aforementioned Additional Fees can be found in the Client Intake Form.
I require 48 hours notice if you wish to cancel/reschedule your appointment. If you do not notify me at least 48 hours in advance of your scheduled appointment that you need to cancel/reschedule your appointment or if you do not show up for your scheduled appointment, you will be required to pay the full cost of the treatment as booked before another appointment will be scheduled. Requiring clients to pay for late cancellation or no show appointments is standard practice in the mental health field, and takes into account that you are not just paying for my clinical services, but reserving a time slot which I will not be able to offer to another client on short notice.
Payment is due at the time services are rendered. I accept cash, checks or credit cards. I do not accept debit cards or FSA/HSA cards. If requested, I will provide you with an invoice with the required diagnostic and procedure code for you to submit directly to your FSA/HSA plan administrator for reimbursement. A fee of $25 will be charged for all returned checks. I require a credit card number that will be kept on file and will be charged for telephone/videoconference sessions, in the event of "no-show" appointments or late cancellations (see cancellation policy below), or for accounts delinquent more than 30 days. Accounts not paid within 15 days of the date of the invoice are subject to a .83% monthly finance charge. Any account more than 90 days delinquent will be turned over to an attorney whom I retain to collect fees from former clients who have behaved with me in a financially unsavory or irresponsible manner.
Telephone and Videoconference Sessions
Telephone or videoconference sessions are allowed on a case-by-case basis. However, because non-verbal communication throughout the psychotherapy session is so vital to the counseling process, telephone sessions need to be held to a minimum. Typically, telephone calls are permitted for purposes of rescheduling or canceling appointments. If a telephone call lasts longer than five minutes, you will be billed in 15-minute increments, pro-rated on $200 per hour.
Insurance and Managed Health Care
I DO NOT ACCEPT INSURANCE. However, if requested at the beginning of treatment, I will provide you with a superbill for reimbursement from your insurance company or FSA/HSA administrator.