Payment:
Payment is acceptable by cash, check, or credit card. Please contact me if you have any questions about fees. Insurance is not accepted, but I could provide you with a monthly statement (called a Superbill), which you may then submit to your insurance carrier for reimbursement.
Cancellation Policy:
A weekly scheduled appointment is reserved for you, meaning you are responsible for holding to that appointment time. Cancellations require no less than 24 hours’ notice prior to your scheduled session time. If your appointment is not canceled within the required time period, you will be charged the full fee for your session. 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.
For any scheduling issues, you may contact me by telephone or email. For all clinical questions or concerns, please contact me by telephone only. If I am not immediately available, please leave a voice message, and I will return your call as soon as possible.
Further, please be aware that in order to make progress, a commitment to attend and work on the issues that brought you into treatment is necessary.
Good Faith Estimate:
Under Section 2799B-6 of the Public Health Service Act, healthcare providers and healthcare facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal healthcare program or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, healthcare providers must give patients who don’t have insurance or are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.