Therapy Services and Fees

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I will start taking appointments in January of 2023.


Concierge Counseling Services

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Initial Session

Please note that the first session is an evaluation, takes 60-120 minutes, and is billed separately. The first session includes intake documents, the informed consent process, a biopsychosocial history, any necessary assessments, evaluation and treatment planning, and the creation of your private, secure therapy and training website with individualized learning content. During that initial session, we will spend some time getting to know each other, and we will discuss your goals and what to expect from therapy. I will answer any questions you have about the therapy process. If you have questions prior to the session, please fill out this form. The informed consent agreement must be completed prior to this first session, and a payment method must be stored before an appointment will be scheduled.

Concierge Counseling Fee Structure

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Cancellation Policy

Cancellations

If there is no current, unexpired payment method on file, scheduled services will be automatically canceled. Clients are responsible for ensuring the payment method is current and is updated. If the payment method on file indicates there are insufficient funds, scheduled services will be canceled and access to the private client website and learning content will be suspended.

Rescheduling


No Surprises Act and the Good Faith Estimate

No Surprises Act

As of January 1, 2022, under the No Surprises Act, all healthcare providers were asked to provide transparency regarding fees for healthcare services. The spirit of this legislation is to protect consumers from receiving unanticipated medical bills. Although my practice is self-pay only (aka private pay or direct pay), it is my policy to provide a good faith estimate (GFE) to all clients whether or not they intend to submit to claims to insurance for possible reimbursement. This GFE will be provided both orally and in writing.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. 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 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 health care 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. Save it in a secure location.


For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call the the No Surprises Help Desk at 1-800-985-3059.

Good Faith Estimate and Diagnosis

The No Surprises Act requires the inclusion of a diagnosis on GFEs. This is a source of contention for many clinicians, including me, for two reasons: 1) We question the ethics of diagnosing a client before getting to know them, and 2) one of the reasons we choose private practice is to mitigate the stigma of locking clients into diagnoses as required by insurance companies and the medical model.

For initial sessions, we are to say TBD (to be determined) in place of a diagnostic code on the GFE. After we complete your intake and initial session with evaluation, I will update your diagnosis and provide a new GFE that reflects the update. In compliance with this new law, I will provide you with a new GFE any time there are changes to your diagnosis, frequency of sessions, or cost of sessions.

Notes about Services

Counseling Service Caveats

Counseling services are available only to clients located in Florida at the time of service. I am currently licenses in the state of Florida only. By law, any client for whom I provide counseling services must be located in the state of Florida at the time of service, regardless of whether that service takes place in person or online. If you are an out-of-state resident but are physically located in Florida, I can counseling services for you while you are in the state. If you are a Florida resident but currently working, traveling, or vacationing out of the state, I cannot provide counseling services for you. If you reside in another state and would like me to look into licensure in your state, please complete this HIPAA-compliant licensure request form.

Please note that my services are designed to serve long term adult clients, ages 18 and up. Research shows that long term therapy has greater chance of long term success. If you are looking for brief therapy or two-week stabilizations, this practice will not be the right fit for you. Long term in this context refers to anywhere from six months to multiple years.


Other Services

Instructional Design Services

Instructional design services are available to all business owners. Please see the instructional design page of this website for more information.

Practitioner Materials

Practitioner materials are available to licensed or certified mental health professionals and teaching professionals everywhere. Please see the practitioner materials page of this website for more information.

Continuing Education

Continuing education is available in states where applicable. Please see the continuing education page of this website for more information.