Fees, Insurance and Forms

 

Fees

My fee is $150 for a 50 minute session. From time to time, a client is in need of a longer 75 minute session, which is $225. Payment is by check, debit or credit card.

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Insurance

I am not an in-network provider for any insurance companies, but I am covered by most insurance plans as an out-of-network provider. Be sure to check if your insurance plan does offer out of network coverage. If it does, you would pay the fee up front, and I will provide you with a monthly statement for you to submit to your insurance company. Most insurance companies have an easy way for you to submit the bill online, after which they will send you a check for whatever part they owe.

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Forms

Before our first session, I will need you to fill out and sign several forms. When you make a first appointment, I will send you an email that lets you set up a client portal on my practice management system, which is called Theranest. There you will have access to all the forms and will be able to fill them out and sign them electronically. You will also be able to see all your upcoming and past appointments and will have access to an encrypted email system should you want to email me sensitive information. which you'll be able to do electronically. Here are the needed forms:

 

1. Therapist-Client Service Agreement Form, which serves as a formal agreement of the scope our work together, including verifying our agreement on fees and office policies.

2. HIPPA Form, which describes privacy laws and practices

3. Intake Form, which provides me with your contact information and allows you to tell me something of your concerns, goals and history, which gives me a bit of a head start for our first meeting.

4. Telehealth Consent Form

5. Telehealth Tips Form

6. Credit/Debit Card Consent form, which allows me to run your credit card remotely if you're opting to pay via credit or debit card.

 

 

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