FEES AND INSURANCE COVERAGE:

Please refer to the welcome packet for prices, discount offers and payment options. Note, I do not bill insurance. However, you may receive a receipt for tax purposes or personal reimbursement with your company. The ultimate responsibility for payment is yours. Please check your benefits prior to our appointment.

Over due balances will accrue a late fee at the rate of 10% per 60 days past due. The fee for a returned check is $25.00. There is a $50.00 fee if your account must be sent to collections. If you have any questions or concerns about my fee, please discuss these with me. Efforts will be made to provide a workable payment schedule. 

APPOINTMENTS AND CANCELLATIONS:

An appointment reserves a specific time for you. Please notify me at least 24 hours in advance if you need to cancel or reschedule your appointment. Otherwise, you will be billed for the missed appointment and responsible for the full fee; except in cases of illness or other unforeseeable circumstances.

TELEPHONE AND CRISIS CONTACTS:

If you need to reach me by phone to change appointment times, or on a matter related to my services, please WhatsApp me at 509-4654-8015 within 24 hours of appointment. Phone consultations of less than 10 minutes duration are generally at no cost, unless there is a need for frequent calls. Refer to the pricing page in teh welcome packet for the cost of regular phone sessions. I do not have receptionist coverage so you will likely need to leave a message. I attempt to return all calls as soon as possible. In a mental health emergency when you cannot reach me, you should to to the nearest hospital emergency room.

PROFESSIONAL CONSULTATION:

To enhance my services, I sometimes participate in consultation with colleagues or specialists. These consultants are bound by the rules of confidentiality and to further ensure privacy, clients’ identities are never disclosed. If you have any concerns about such consultations, please discuss them with me.

CONFIDENTIALITY:

Apart from the exceptions listed below, the information you share with me in our sessions will be kept private and will not be released to other parties without your written permission.

Under these certain circumstances, I am mandated by law to break confidentiality:

• When information is shared indicating acts of child or elder abuse.
• When statements indicate suicidal or homicidal intentions.
• When subpoenaed to testify in court.
• When information would assist in a medical emergency.

If exceptions to confidentiality arise, it is my policy, whenever possible, to first inform you of the necessity to disclose information and to do this in a way that is maximally responsive to your needs and concerns. In cases of family sessions, expectations between family members should be discussed and negotiated on an individual basis. It is my policy to release files and or information regarding minor children, upon receiving the signatures of both parents.

SHARED RESPONSIBILITY:

It is my experience that my services are most effective when they occurs in the context of a supportive and collaborative relationship. I have a strong commitment to be useful to you as a consultant. I appreciate all feedback about how the process is going for you and what would enhance it. Your active and responsible participation in the process is essential for maximum progress.

I have read the above statement and understand my rights and responsibilities. I understand that there can be no absolute guarantee of cure in these sessions. I understand my rights to confidentiality as well as the limitations. I have received a copy of this for my records.

I have received a copy of the Notice of Privacy Practice.