TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xx. XxXxxxxxx between sessions, please leave a message on his confidential voice mail-box (000) 000-0000 and your call will be returned as soon as possible. Xx. XxXxxxxxx checks his messages a few times a day, unless he is out of town. If an emergency situation arises, please indicate it clearly in your message. If you need to talk to someone right away, you can call Xx. Xxxxx Xxxxxxxx at (000) 000-0000, the Orange County 24-hour crisis hot line (000) 000-0000, or the Police (911). PAYMENTS & INSURANCE REIMBURSEMENT: Clients are expected to pay the standard fee of $ per 55 minute session at the end of each session or at the end of the month unless other arrangements have been made. Telephone conversations, site visits, report writing and reading, consultation with other professionals, release of information, reading records, longer sessions, travel time, etc... will be charged at the same rate, unless indicated and agreed otherwise. Please notify Xx. XxXxxxxxx if any problem arises during the course of therapy regarding your ability to make timely payments. Clients who carry insurance should remember that professional services are rendered and charged to the clients and not to the insurance company. Unless agreed upon differently, Xx. XxXxxxxxx will provide you with a copy of your receipt on a monthly basis, which you can then submit to your insurance company for reimbursement if you so choose. As was indicated in the section Health Insurance & confidentiality of records, you must be aware that submitting a mental health invoice for reimbursement carries a certain amount of risk. Not all issues/conditions/problems, which are the focus of psychotherapy, are reimbursed by insurance companies. It is your responsibility to verify the specifics of your coverage.
TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xx. Xxxxxxxxxxx between sessions, please leave a message at the answering service (000) 000-0000 and your call will be returned as soon as possible. Xx. Xxxxxxxxxxx checks her messages several times during the daytime only, unless she is out of town. If an emergency situation arises, indicate it clearly in your message and if you need to talk to someone right away in an emergency, call 911. Please do not use e-mail or faxes for emergencies. Xx. Xxxxxxxxxxx does not always check her e-mail or texts daily. PAYMENTS & INSURANCE REIMBURSEMENT: Clients are expected to pay the standard fee of $175.00 per 50 minute session at the end of each session unless other arrangements have been made. Please notify Xx. Xxxxxxxxxxx if any problems arise during the course of therapy regarding your ability to make timely payments. Clients who carry insurance should remember that professional services are rendered and charged to the clients and not to the insurance companies. Unless agreed upon differently, Xx. Xxxxxxxxxxx will provide you with a copy of your receipt on a monthly basis, which you can then submit to your insurance company for reimbursement, if you so choose. As was indicated in the section, Health Insurance & Confidentiality of Records, you must be aware that submitting a mental health invoice for reimbursement carries a certain amount of risk. Not all issues/conditions/problems, which are dealt with in psychotherapy, are reimbursed by insurance companies. It is your responsibility to verify the specifics of your coverage. If your account is overdue (unpaid) and there is no written agreement on a payment plan, Xx. Xxxxxxxxxxx can use legal or other means (courts, collection agencies, etc.) to obtain payment.
TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xxxxx Xxxxxx between sessions, please leave a message on her confidential voice mail at (000) 000-0000 and your call will be returned as soon as possible. Xxxxx Xxxxxx checks her messages a few times during the daytime only, unless she is out of town. If an emergency situation arises, indicate it clearly in your message and if you need to talk to someone right away, call the Police: 911. Please do not use email or faxes for emergencies. PAYMENTS & INSURANCE REIMBURSEMENT: The fee or copay for service is $ for an in person, telehealth, home and telephone session. Xxxxx Xxxxxx reserves the right to periodically adjust the fee and will notify client in advance. Fees (including co-pays) are payable at time service is rendered. You can pay by check, cash, Venmo, Health Savings Account, or credit card via Square. Please note that there is an additional transaction fee of 4% for credit and debit cards. Please ask Xxxxx Xxxxxx if you wish to discuss a written agreement that specifies an alternative payment procedure. Please inform Xxxxx Xxxxxx if you wish to utilize health insurance to pay for services. If Xxxxx Xxxxxx is a contracted provider for your insurance company, she will discuss the procedure for billing your insurance. The amount of reimbursement and the amount of any co-payments or deductible depends on the requirements of you specific insurance plan. You should be aware that you are responsible for verifying and understanding the limits of your insurance coverage. Although Xxxxx Xxxxxx is happy to assist you in your efforts to seek insurance reimbursement, there is no guarantee whether your insurance will provide payment for the services provided to you. This means that you are financially responsible for any unpaid amount. Please discuss any questions or concerns that you may have about this with Xxxxx Xxxxxx. If for some reason you are unable you continue paying for therapy, you should inform Xxxxx Xxxxxx. She will help you to consider any options that may be available to you at this time. DELINQUENT ACCOUNT POLICY: If your account is overdue (unpaid) and there is no written agreement on a payment plan, Xxxxx Xxxxxx can use legal or other means (courts, collection agencies, etc.) to obtain payment. MEDIATION & ARBITRATION: All disputes arising out of, or in relation to, this agreement to provide psychotherapy services shall preferably first be referred to mediation before the initiation of arbitration or litigation. The mediato...
TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xx. Xxxxx between sessions, please leave a message on her confidential voicemail and your call will be returned as soon as possible. Every effort will be made to return your call the same day, with the exception of weekends and holidays. If you are difficult to reach, please leave times that you are likely available to be reached and the phone number to use. If you cannot reach Xx. Xxxxx and feel you cannot wait for her to return your call, you should call your family physician or the emergency room at the nearest hospital and ask for the psychologist or psychiatrist on call. If you are unsuccessful in reaching one of the above, and you feel it is an emergency, call 911. Please do not use e-mail, texts, or faxes for emergencies. THE PROCESS OF THERAPY/EVALUATION AND SCOPE OF PRACTICE: Participation in therapy can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits, however, requires effort on your part. Psychotherapy requires your very active involvement, honesty, and openness in order to change your thoughts, feelings, and/or behavior. Xx. Xxxxx will ask for your feedback and views on your therapy, its progress, and other aspects of the therapy and will expect you to respond openly and honestly. Sometimes more than one approach can be helpful in dealing with a certain situation. During evaluation or therapy, remembering or talking about unpleasant events, feelings, or thoughts can result in you experiencing considerable discomfort or strong feelings of anger, sadness, worry, fear, etc., or experiencing anxiety, depression, insomnia, etc. Xx. Xxxxx may challenge some of your assumptions or perceptions or propose different ways of looking at, thinking about, or handling situations, which can cause you to feel very upset, angry, depressed, challenged, or disappointed. Attempting to resolve issues that brought you to therapy in the first place, such as personal or interpersonal relationships, may result in changes that were not originally intended. Psychotherapy may result in decisions about changing behaviors, employment, substance use, schooling, housing, or relationships. Sometimes a decision that is positive for one family member is viewed quite negatively by another family member. Change will sometimes be easy and swift, but more often it will be slow and even frustrating. There is no guarantee that...
TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xx. Xxxxxxxx between sessions, please leave a message on the voicemail (4157540451) and your call will be returned as soon as possible. Dr. ZiefBalteriski checks her messages on a daily basis, unless she is out of town; she generally returns messages during normal work hours. If an emergency situation arises, please indicate it clearly in your message. In case of a mental health crisis, please refer to one of the 24/7 crisis call centers, 1800273 8255 or 4157810500. In case of other of emergencies needing immediate attention please contact 911 for assistance. PSYCHOLOGICAL EVALUATION/TESTING: Clients are expected to pay the standard fee of $175.00 per hour for psychological testing, scoring of tests, test interpretation, feedback of the results, consultation, travel time, behavioral observation, and report writing. The same rate will be charged for consultation with other professionals. Clients will be given an estimate of the total cost after the first session. If concerns arise for memory, attention, learning disability, or neuropsychological impairment additional testing may be needed to provide a comprehensive evaluation. Clients should understand that each individual case differs in regards to time required to complete the testing procedures. If desired, a written report will be provided to the client or sent to another professional after an oral feedback session and after the account is paid in full. The cost for scoring of tests is two hours ($350.00). The cost for report writing is twofour hours of time depending on the length of the evaluation. Please note that many insurance companies do not reimburse for psychological testing. PSYCHOTHERAPY CHARGES: Clients are expected to pay the agreed upon fee for each 50 minute therapy session. For clients using insurance, you are responsible for copayment and updating any changes to your insurance plan. The client will be charged the full fee without a 48hournotice of cancellation, with the exception of emergencies. If you are a student or sliding fee agreement you will be charged that rate. If you are a client covered by insurance, you will be charged the standard rate. Sliding Fee rate: Standard Rate: Intial: MEDIATION & ARBITRATION: All disputes arising out of or in relation to ther agreement to provide psychotherapy services shall first be referred to mediation, before, and as a precondition of, the initiation of arbitration. The mediator shall be a neutral third party...
TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xx. Xxxxx between sessions, please leave a message at (000) 000-0000 and your call will be returned as soon as possible. Xx. Xxxxx checks her messages during the daytime only, unless she is out of town. If she is unavailable for an extended period of time, such as away on vacation, she will provide you with the name of a colleague to contact, if necessary. There are many times when Xx. Xxxxx is not immediately available or is in session with another client. Other circumstances, such as poor cell reception, may cause Xx. Xxxxx to be unavailable by telephone. In these instances, it is best to leave a message on her voicemail with your phone number and some good times to reach you, and she will return the call as soon as she is able. If an emergency situation arises, please indicate the nature of emergency clearly in your message, and also call 911 or go to the nearest hospital. If you need to talk to someone right away, call Psychiatric Emergency Services in Santa Xxxx at (707) 576- 818, or 911. Please do not use email, texts, or faxes for emergencies. Xx. Xxxxx does not always check her email, texts, or faxes daily. FEES, INSURANCE, and CANCELLATION POLICY: Xx. Xxxxx’x fee for clinical work is $185 per hour, and the fee for services will be established at or prior to the first meeting. The fee is collected at the time of each session. Clients are encouraged (but not required) to pay at the beginning of the session so that they can increase their attention during the session and feel undisrupted at the end.
TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Xx. Xxxx between sessions, please leave a message at the answering service (000) 000-0000 and your call will be returned as soon as possible. Xx. Xxxx checks his messages a few times during the daytime only, unless he is out of town. If an emergency situation arises, indicate it clearly in your message and if you need to talk to someone right away call Psychiatric Emergency Services. (Macomb County): (000) 000-0000 , 24-hour crisis line (Macomb County): (000) 000-0000 or the Police: 911. Please do not use email or faxes for emergencies. Xx. Xxxx does not always check his email or faxes daily. PAYMENTS & INSURANCE REIMBURSEMENT: Clients are expected to pay the standard fee of $140.00 per 45 minute or $185.00 per hour session at the end of each session or at the end of the month unless other arrangements have been made. Telephone conversations, site visits, writing and reading of reports, consultation with other professionals, release of information, reading records, longer sessions, travel time, etc. will be charged at the same rate, unless indicated and agreed upon otherwise. Please notify Xx. Xxxx if any problems arise during the course of therapy regarding your ability to make timely payments. For those with insurance coverage, a claim describing these services will be submitted to your insurance carrier for possible reimbursement. Not all issues/conditions/problems, which are dealt with in psychotherapy, are reimbursed by insurance companies. It is your responsibility to verify the specifics of your coverage. If your account is overdue (unpaid) and there is no written agreement on a payment plan, Xx. Xxxx can use legal or other means (courts, collection agencies, etc.) to obtain payment. THE PROCESS OF THERAPY/EVALUATION AND SCOPE OF PRACTICE: Participation in therapy can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits, however, requires effort on your part. Psychotherapy requires your very active involvement, honesty, and openness in order to change your thoughts, feelings, and/or behavior. Xx. Xxxx will ask for your feedback and views on your therapy, its progress, and other aspects of the therapy and will expect you to respond openly and honestly. Sometimes more than one approach can be helpful in dealing with a certain situation. During evaluation or therapy, remembering or talking about un...
TELEPHONE & EMERGENCY PROCEDURES. If you need to contact your therapist, please leave a confidential voice mail message at: (000) 000-0000. A clinical representative of Ideal Living Psychology Center, Inc. may not answer the phone due to being occupied in session with another client. You therapist, however, will make every effort to return your call on the same day you leave a message, with the exceptions of those made after 5pm Mon-Friday, weekends, holidays, and vacation times. If you are difficult to reach, please inform your therapist of times when you will be available. If you are unable to reach your therapist and feel your situation is urgent, contact your family physician or the nearest emergency room and ask for the clinician/psychologist/psychiatrist on call. If the nature of the contact involves a life-threatening or emergency situation (i.e., an imminent danger to yourself or another), dial 911 immediately. If your therapist is unavailable for an extended time, she will provide you with the name of a colleague to contact, if necessary.
TELEPHONE & EMERGENCY PROCEDURES. If you need to contact Renewing Hope between sessions, please leave a message with your therapist and your call will be returned as soon as possible. Renewing Hope therapists check messages a few times during the daytime. If an emergency situation arises, indicate it clearly in your message and if you need to talk to someone right away call the 24-hour crisis line: (000) 000-0000 or call 911. Please do not use email or faxes for emergencies. Renewing Hope does not always check email or faxes daily. MEDIATION & ARBITRATION: All disputes arising out of, or in relation to, this agreement to provide psychotherapy services shall first be referred to mediation, before, and as a pre-condition of, the initiation of arbitration. The mediator shall be a neutral third party chosen by agreement of Renewing Hope and the client(s). The cost of such mediation, if any, shall be split equally, unless otherwise agreed upon. In the event that mediation is unsuccessful, any unresolved controversy related to this agreement should be submitted to and settled by binding arbitration in Nebraska in accordance with the rules of the American Arbitration Association which are in effect at the time the demand for arbitration is filed. Notwithstanding the foregoing, in the event that your account is overdue (unpaid) and there is no agreement on a payment plan, Renewing Hope can use legal means (court, collection agency, etc.) to obtain payment. The prevailing party in arbitration or collection proceedings shall be entitled to recover a reasonable sum as and for attorney's fees. In the case of arbitration, the arbitrator will determine that sum. THE PROCESS OF THERAPY/EVALUATION AND SCOPE OF PRACTICE: Participation in therapy can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits, however, requires effort on your part. Psychotherapy requires your very active involvement, honesty, and openness in order to change your thoughts, feelings, and/or behavior. You will be asked for feedback and views on your therapy, its progress, and other aspects of the therapy and will expect you to respond openly and honestly. Sometimes more than one approach can be helpful in dealing with a certain situation. During evaluation or therapy, remembering or talking about unpleasant events, feelings, or thoughts can result in you experiencing considerable discomfort or strong f...
TELEPHONE & EMERGENCY PROCEDURES. If you need to contact me between sessions, please leave a message on my answering machine and your call will be returned as soon as possible. I check my messages a few times a day, unless I am out of town. If an emer- gency situation arises, please indicate it clearly in your message. If you need to talk to someone right away, you can call the CONTACT hotline, a crisis line at (000) 000-0000, the Police (911), or the 24-hour Psych. Emergency Unit in the hospital nearest to you. PAYMENTS & INSURANCE REIMBURSEMENT: Clients are expected to pay the standard fee of $160 per 45 minute session at the end of each session or at the end of the month unless other arrangements have been made. Telephone conversations, site visits, report writing and reading, consultation with other profes- sionals, release of information, reading records, longer sessions, travel time, etc. will be charged at the same rate, unless indicated and agreed otherwise. Please notify me if any problem arises during the course of therapy regarding your ability to make timely pay- ments. Clients who carry insurance should remember that professional services are rendered and charged to the clients and not to the insurance companies. Unless agreed upon differently, I will provide you with a copy of your receipt on a monthly basis, which you can then submit to your insurance company for xxxx- bursement if you so choose. As was indicated in the section, Health Insurance & Confidentiality of Records, you must be aware that submitting a mental health invoice for reimbursement carries a certain amount of risk. Not all issues/conditions/problems, which are the focus of psychotherapy, are reimbursed by insurance companies. It is your responsibility to verify the spe- cifics of your coverage. Should you be unable to keep a scheduled appointment, kindly give 24 hours notice. Without 24 hours notice, the fee will be payable in full but will not be billable to your insurance company. THE PROCESS OF THERAPY/EVALUATION: Participation in therapy can result in a number of ben- efits to you, including improving interpersonal rela- tionships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits however, requires effort on your part. Psychotherapy requires your very active involvement, honesty, and openness in order to change your thoughts, feelings and/or behavior. I will ask for your feedback and views on your therapy, its progress, and other aspects of the therapy an...
