Payment & Cancellation
My fee for individual and couples therapy is $150 per 50-minute session. I offer a free 15-minute consultation on the phone so you can get a sense of whether I’m the right fit for you. Credit Cards, checks and cash are accepted for payment.
While I am not on any insurance panels, I can provide provide documentation for reimbursable services if your insurance plan provides out-of-network benefits.
My cancellation policy requires 24 hours advance notice. Appointments canceled with less notice will incur the full session fee.
Confidentiality
The law protects the relationship between a patient/client and a psychotherapist, and information can almost never be disclosed without written permission.
In certain circumstances, the law requires a therapist to break confidentiality to protect the safety of the client and others. These include include suspected child abuse or dependent adult or elder abuse; potential homicide or serious harm to others; or risk of suicide or other self-harm.
Please ask me for detailed information.
Availability
I’m currently accepting new clients Monday through Saturday.
Communication
I can be reached by phone at 212 555 1212 or through email via contact form. I will respond to your message within 24 hours.
Please fill out the intake forms prior to our appointment.
Client Intake
Consent to Release Information
Limits of Confidentiality
Informed Consent for Online Therapy
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care 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.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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, visitwww.cms.gov/nosurprises or call (800) 368-1019.