• Practice Policies and Financial Agreement – Goodman Mental Health

    Please review the following practice policies and financial agreement. Complete all required fields to acknowledge and electronically sign.
  • APPOINTMENTS
    Psychotherapy sessions are typically 50 minutes and provided via telehealth. Appointment times are reserved for each client.

    FEES
    The standard private-pay fee is $130 per 50-minute session.

    Clients using insurance, Lyra Health, EAP benefits, or other third-party payers are responsible for applicable copays, deductibles, coinsurance, and any balance not covered by the payer.

    Reduced-fee arrangements may be available based on financial need and practice availability.

    FINANCIAL RESPONSIBILITY
    Clients are responsible for all charges related to their care. While Goodman Mental Health will submit claims when applicable, payment from insurance or other third-party payers is not guaranteed. Clients are responsible for denied, exhausted, or unpaid balances and should verify coverage and benefits directly with their plan.

    CANCELLATIONS
    Please provide at least 24 hours' notice for cancellations or rescheduling. Late cancellations and missed appointments may be charged the full session fee unless approved otherwise. Late arrivals may result in a shortened session while remaining subject to the full fee.

    CLIENT PORTAL
    Clients are encouraged to use the secure client portal for forms, scheduling, and administrative tasks and are responsible for maintaining the security of their login credentials.

    EMAIL AND TEXT COMMUNICATION
    Email and text messaging may be used for scheduling and administrative matters only. Do not use electronic communication for emergencies or urgent clinical concerns. Response times may vary.

    SOCIAL MEDIA
    To protect confidentiality and professional boundaries, Dr. Goodman does not accept social media friend requests, follows, or connection requests from current or former clients.

    EMERGENCIES
    Goodman Mental Health does not provide emergency or 24-hour crisis services. In an emergency, call 911, go to the nearest emergency department, or contact the 988 Suicide & Crisis Lifeline.

    AI-ASSISTED DOCUMENTATION
    The practice may use AI-assisted documentation tools, including SimplePractice Note Taker, when authorized by the client. Additional information is provided in the informed consent documents.

    TERMINATION
    Clients may end treatment at any time. Services may also be terminated for clinical, administrative, or financial reasons consistent with professional standards. Cases with no appointments or contact for three months may be considered inactive and closed.

    CLIENT ACKNOWLEDGMENT
    I have read, understand, and agree to the Goodman Mental Health Practice Policies and Financial Agreement.


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