Therapeutic Services. Therapy is a relationship between people that works in part because of clearly defined rights and responsibilities held by each person. As a client in therapy, you have certain rights and responsibilities that are important for you to understand. There are also legal limitations to those rights that you should be aware of. I, as your therapist, have corresponding responsibilities to you. These rights and responsibilities are described in the following sections. Therapy has both benefits and risks. Risks may include experiencing uncomfortable feelings, such as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness, because the process of therapy often requires discussing the unpleasant aspects of your life. However, therapy has been shown to have benefits for individuals who undertake it. Therapy often leads to a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress and resolutions to specific problems. But, there are no guarantees about what will happen. Therapy requires a very active effort on your part. In order to be most successful, you will have to work on things we discuss outside of sessions. The first 1-2 sessions will involve a comprehensive evaluation of your needs. By the end of the evaluation, I will be able to offer you some initial impressions of what our work might include. At that point, we will discuss your treatment goals and create an initial treatment plan. You should evaluate this information and make your own assessment about whether you feel comfortable working with me. If you have questions about my procedures, we should discuss them whenever they arise. If your doubts persist, I will be happy to help you set up a meeting with another mental health professional for a second opinion. APPOINTMENTS Appointments will ordinarily be 45-60 minutes in duration, once per week at a time we agree on, although some sessions may be more or less frequent as needed. The time scheduled for your appointment is assigned to you and you alone. If you need to cancel or reschedule a session, I ask that you provide me with at least 24-hour notice. If you miss a session without canceling, my policy is to charge you the full rate ($100) for the hour. If you cancel with less than 24-hour notice, my policy is to collect a $35 late cancellation fee [unless we both agree that you were unable to attend due to circumstances beyond your control]. It is important to note that insurance companies do not provide reimbursement for cancelled sessions; thus, you will be responsible for the portion of the fee as described above. If it is possible, I will try to find another time to reschedule the appointment. In addition, you are responsible for coming to your sessions on time; if you are late, your appointment will still need to end on time. SOCIAL MEDIA AND TELECOMMUNICATION Due to the importance of your confidentiality and the importance of minimizing dual relationships, I do not accept friend or contact requests from current or former clients on any social networking site (Facebook, LinkedIn, etc.). I believe that adding clients as friends or contacts on these sites can compromise your confidentiality and our respective privacy. It may also blur the boundaries of our therapeutic relationship. If you have questions about this, please bring them up when we meet, and we can talk more about it. ELECTRONIC COMMUNICATION I cannot ensure the confidentiality of any form of communication through electronic media, including text messages. If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, I will do so. While I try to return messages in a timely manner, I cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies. PROFESSIONAL FEES The standard fee for the initial intake is $100.00 and each subsequent session is $100.00 and $150.00 for couples and family therapy. You are responsible for paying at the time of your session unless prior arrangements have been made. Payment must be made by cash, check or credit card. Missed or cancelled appointment fees will be automatically charged to your credit card. Any checks returned to my office are subject to an additional fee of up to $25.00 to cover the bank fee that I incur. If you refuse to pay your debt, I reserve the right to use an attorney or collection agency to secure payment. In addition to weekly appointments, it is my practice to charge this amount on a prorated basis (I will break down the hourly cost) for other professional services that you may require such as report writing, telephone conversations that last longer than 15 minutes, attendance at meetings or consultations which you have requested, or the time required to perform any other service which you may request of me. If you anticipate becoming involved in a court case, I recommend that we discuss this fully before you waive your right to confidentiality. If your case requires my participation, you will be expected to pay for the professional time required even if another party compels me to testify.
Appears in 1 contract
Sources: Client Service Agreement
Therapeutic Services. Therapy Psychotherapy is a relationship between people that works in part because of clearly defined rights and responsibilities held by each person. As a client in therapy, you have certain rights and responsibilities that are important for you to understand. There are also legal limitations to those rights that you should be aware of. I, as your therapist, have corresponding responsibilities to you. These rights and responsibilities are not easily described in general statements. It varies depending on the following sectionspersonalities of the psychologist and patient, and the particular problems you bring forward. Therapy has both benefits and risksPsychotherapy is not like a medical doctor visit. Risks may include experiencing uncomfortable feelingsInstead, such as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness, because the process of therapy often requires discussing the unpleasant aspects of your life. However, therapy has been shown to have benefits it calls for individuals who undertake it. Therapy often leads to a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress and resolutions to specific problems. But, there are no guarantees about what will happen. Therapy requires a very active effort on your part. In As a Certified Cognitive Behavior Therapist, I utilize a variety of evidence-based counseling tools and psychotherapeutic approaches that have been tested and demonstrated to be effective. However, since CBT is a collaborative effort between the therapist and the client, in order for the therapy to be most successful, you will have to work on things we discuss outside of sessionstalk about both during our sessions and at home. The first 1Clients that follow through with this work typically find that they achieve desired results in a very time-2 sessions will involve a comprehensive evaluation efficient manner. Psychotherapy can have benefits and risks. Since therapy often involves discussing unpleasant aspects of your needslife, you may experience uncomfortable feelings like sadness, guilt, anger, frustration, loneliness, and helplessness. On the other hand, psychotherapy has also been shown to have many benefits. Therapy often leads to better relationships, solutions to specific problems, and significant reductions in feelings of distress. However, there are no guarantees of what you will experience. I normally conduct an evaluation that will last from 2 to 4 sessions. By the end of the evaluation, I will be able to offer you some initial first impressions of what our work might include. At that pointwill include and a treatment plan to follow, if we will discuss your treatment goals and create an initial treatment plandecide to continue with therapy. You should evaluate this information and make along with your own assessment about opinions of whether you feel comfortable working with me. I will not work with people whom I don't think I can help. If that is the case, I will give you an appropriate referral. Therapy involves a large commitment of time, money, and energy, so you should be very careful about the therapist you select. If you have questions about my procedures, we should discuss them whenever they arise. If your doubts persist, I will be happy to help you set up a meeting with another mental health professional for a second opinion. APPOINTMENTS Appointments If, during therapy, it becomes apparent that I am not being effective in helping you reach the therapeutic goals or I perceive you as non-compliant or nonresponsive, and if you are available and/or it is possible and appropriate to do, I will ordinarily discuss with you the termination of treatment and conduct pre-termination counseling. I will give referrals as appropriate. If you cancel an appointment and do not contact me within three months, I will close your case. You can have it reopened by contacting me. Please note that any new fees or policies will apply at that time. In addition to in-person sessions, I also offer video conferencing. Confidentiality still applies for these sessions and no one will record the session without everyone's permission. We agree to use the video-conferencing platform selected by the therapist. If you have any questions about how to use it, please ask. It will require the use of a webcam or smartphone. It is important that you be 45in a quiet, private space free from distractions during the session. Please use a secure internet connection rather than public/free Wi-60 Fi. If you need to cancel or change the appointment, you must notify me at least 48 hours in advance. If there are technical difficulties during the session, I will work to restore things. If I am unable to do that quickly, we will finish the session by telephone rather than taking session time for troubleshooting. You should confirm with your insurance company that the video sessions will be reimbursed. For online sessions, I will be using a Zoom, which is HIPAA-compliant. It requires a computer or smartphone with a working camera and microphone, and internet access. I will also send out an invitation the morning of our visits. This will take you to my waiting room on the app. This means you will be the one to arrive like at my regular office and I will "open the door" by clicking on your name. I will know you are there so you don't need to send me a message. I do my best to start on time but sometimes I may be running a minute or two late. If you are running late, please just send me a message. We will then do a session online. If you prefer, we can do a session by phone. If either the internet session or the phone gets cut off, I'll wait a minute then try to call you back. Since we are doing teleconferencing, it is possible that you may not be at your home during our sessions. Please note that my license is for California. That means that your body needs to be in this state for me to be able to practice. If you travel out of state, you need to cancel the appointment at least 48 hours in advance or you will be charged for the session. Note that Lyra specifically does not allow out of state practice even with a valid license. I will usually schedule one 50-minute session (one appointment hour of 50 minutes in duration, once ) per week at a time we agree on, although some sessions may be longer or more or less frequent as neededfrequent. The time scheduled Once an appointment hour is scheduled, you will be expected to pay for it unless you provide 48 hours advance notice of the cancellation. If your appointment is assigned to you and you aloneon Monday, please let me know before noon on Friday. If you need to cancel or reschedule are more than 20 minutes late without calling, it will be considered a missed session, I ask that you provide me with at least 24-hour notice. If you miss a session or cancel three consecutive appointments without canceling, my policy is to charge you the full rate ($100) for the hour. If you cancel with less than 24-hour prior notice, my policy is to collect a $35 late cancellation fee [unless we both agree that you were unable to attend due to circumstances beyond your control]. It is important to note that insurance companies do not provide reimbursement for cancelled sessions; thus, you case will be responsible for the portion of the fee as described aboveclosed. If it is possible, I will try to find another time to reschedule the appointment. In addition, also close your case if I have not heard from you are responsible for coming to your sessions on time; if you are late, your appointment will still need to end on time. SOCIAL MEDIA AND TELECOMMUNICATION Due to the importance of your confidentiality and the importance of minimizing dual relationships, I do not accept friend or contact requests from current or former clients on any social networking site (Facebook, LinkedIn, etc.)one month. I believe that adding clients as friends or contacts on these sites can compromise your confidentiality and our respective privacywill be happy to reopen it once all outstanding fees have been paid. It may also blur the boundaries of our therapeutic relationship. If you have questions about this, please bring them up when we meet, and we can talk more about it. ELECTRONIC COMMUNICATION I cannot ensure the confidentiality of any form of communication through electronic media, including text messages. If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, I will do so. While I try to return messages in a timely manner, I cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies. PROFESSIONAL FEES The standard My fee for the initial intake is $100.00 and each subsequent session is $100.00 and $150.00 225 for couples and family therapya 50 minute session. You are responsible will be expected to pay for paying each session at the time of your session it is held, unless prior arrangements have been made. Payment must be made by cash, check or credit card. Missed or cancelled appointment fees will be automatically charged to your credit card. Any checks returned to my office are subject to an additional fee of up to $25.00 to cover the bank fee that I incur. If you refuse to pay your debt, I reserve the right to use an attorney or collection agency to secure paymentwe agree otherwise. In addition to weekly appointments, it is my practice to I charge this amount on a prorated basis (I will break down the hourly cost) for other professional services that you may require such as need. Other services include report writing, telephone conversations that last lasting longer than 15 5 minutes, attendance at meetings or consultations which with other professionals you have requestedauthorized, preparation of records or treatment summaries, and the time required to perform spent performing any other service which you may request of me. If you anticipate becoming become involved in a court case, I recommend legal proceedings that we discuss this fully before you waive your right to confidentiality. If your case requires require my participation, you will be expected to pay for the my professional time required even if I am called to testify by another party compels me party. Because of the difficulty of legal involvement, I charge $225 per hour for preparation and attendance at any legal proceeding. Payment schedules for other professional services will be agreed to testifywhen they are requested. If your account has not been paid for more than 60 days and arrangements for payment have not been agreed upon, I have the option of using legal means to secure the payment. This may involve hiring a collection agency or going through small claims court. If such legal action is necessary, its costs will be included in the claim. In most collection situations, the only information I release regarding a patient’s treatment is his/her name, the nature of services provided, and the amount due. If such legal action is necessary, its costs will be included in the claim.
Appears in 1 contract
Therapeutic Services. Therapy is a relationship between people that works in part because of clearly defined rights and responsibilities held by each person. As a client in therapypsychotherapy, you have certain rights and responsibilities that are important for you to understand. There are also legal limitations to those rights that you should be aware of. I, as your therapist, have corresponding responsibilities to you. These rights and responsibilities are described in the following sections. Therapy Psychotherapy has both benefits and risks. Risks may include experiencing uncomfortable feelings, such as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness, because the process of therapy psychotherapy often requires discussing the unpleasant aspects of your life. However, therapy psychotherapy has been shown to have benefits for individuals who undertake it. Therapy often leads to a significant reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal awareness and insight, increased skills for managing stress and resolutions to specific problems. But, there are no guarantees about what will happen. Therapy Psychotherapy requires a very active effort on your part. In order to be most successful, you will have to work on things we discuss outside of sessions. The first 1-2 sessions will involve a comprehensive evaluation of your needs. By the end of the evaluation, I will be able to offer you some initial impressions of what our work might include. At that point, we will discuss your treatment goals and create an initial treatment plan. You should evaluate this information and make your own assessment about whether you feel comfortable working with me. If you have questions about my procedures, we should discuss them whenever they arise. If your doubts persist, I will be happy to help you set up a meeting with another mental health professional for a second opinion. APPOINTMENTS Appointments will ordinarily be 45-60 50 minutes in duration, once per week at a time we agree on, although some sessions may duration and frequency will be more or less frequent as neededmutually determined. The time scheduled for your appointment is assigned to you and you alone. If you need to cancel or reschedule a session, I ask that you provide me with at least 24-hour 24 hours notice. If you miss a session without canceling, my policy is to charge you the full rate ($100) for the hour. If you or cancel with less than 24-24 hour notice, my policy is to collect a $35 late cancellation fee [unless we both agree that you were unable to attend due to circumstances beyond your control]. It is important to note that insurance companies do not provide reimbursement for cancelled sessions; thus, you will may be responsible charged for the portion of the fee as described above. If it is possible, I will try to find another time to reschedule the appointment. In addition, you are responsible for coming to your sessions on time; if you are late, your appointment will still need to end on time. SOCIAL MEDIA AND TELECOMMUNICATION Due to the importance full amount of your confidentiality and the importance of minimizing dual relationships, I do not accept friend or contact requests from current or former clients on any social networking site (Facebook, LinkedIn, etc.). I believe that adding clients as friends or contacts on these sites can compromise your confidentiality and our respective privacy. It may also blur the boundaries of our therapeutic relationship. If you have questions about this, please bring them up when we meet, and we can talk more about session unless it. ELECTRONIC COMMUNICATION I cannot ensure the confidentiality of any form of communication through electronic media, including text messages. If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, I will do so. While I try to return messages in a timely manner, I cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies’s considered an emergency. PROFESSIONAL FEES The standard fee for the initial intake and subsequent sessions is $100.00 and each subsequent session is $100.00 and $150.00 for couples and family therapy130.00. You are responsible for paying at the time of your session unless prior arrangements have been made. Payment must may be made by cashcheck, check cash or credit card. Missed or cancelled appointment fees However, using a credit card will be automatically charged to your credit card. Any checks returned to my office are subject to an additional add a $5.00 fee of up to $25.00 to cover the bank fee that I incur. If you refuse to pay your debt, I reserve the right to use an attorney or collection agency to secure paymentfor processing. In addition to weekly appointments, it is my practice to charge this amount on a prorated basis (( I will break down the hourly cost) for other professional services that you may require such as report writing, telephone conversations that last longer LONGER than 15 minutes, attendance at meetings or consultations which you have requested, or the time required to perform any other service which you may request of me. If you anticipate becoming involved in Shorter phone calls and/or e mails will not require a court case, I recommend that we discuss this fully before you waive your right to confidentiality. If your case requires my participation, you will be expected to pay for the professional time required even if another party compels me to testifyfee.
Appears in 1 contract
Sources: Therapist Client Service Agreement