Informed Consent

Practice Policies

During our initial consultation, we will be looking to clarify some of the issues you would like support with and whether or not we mutually feel progress in those areas can likely move forward through our interaction. We can also then decide how many sessions, over what period of time, might be appropriate for you. This will allow you to take your personal budget into consideration before we begin.

Once we decide to begin, you will receive an appointment reminder 24 hours before each of our sessions. If you need to cancel, please do so before or at that time. If you cancel inside 24- hours before your session (with or without notice), I will require a cancelation fee of 50% of that scheduled session fee, and payment will need to be completed before another session is booked. If you for whatever reason arrive late to your scheduled session, I cannot guarantee that I will still be available to accommodate your full session but the full fee will still be expected and we will make the most of whatever time we do have together.

My fees for services are as follows:

  • $210 per 60 minute individual online or in-person therapy session
  • $250 per 75 minute couple’s online or in-person therapy session
  • $300 per 90 minute family online or in-person therapy session

Payment for our session is expected immediately at the end of our session. Please note that I am a private pay provider which means I do not bill for any health insurance including Medicaid, Medi-Cal or Medicare.

If you need to contact me between sessions, feel free to leave me a brief email, voice mail or text and I will respond within 24 hours. In an emergency situation, please dial 911.

What to Expect

Therapy is a process of working through challenges that can require some wrangling and perhaps bring up uncomfortable feelings. That is why I often recommend protecting some private down time after a session whenever possible, before easing back into life commitments (even if just for 30 minutes). This allows for the opportunity to contemplate and integrate ideas. It is by no means required in anyway, rather a recommendation regarding the best way to get the most out of your therapeutic session time.

Telehealth

Video sessions are preferred, but if for some reason a phone conversation at times works better for you, I can accommodate that request. During our session, I will be in a confidential environment whenever we chat, and it is your responsibility to create confidentiality on your end of the conversation as well. I understand there are potential risks to this technology, including interruptions and technical difficulties. If we are unable to complete our session due to such circumstances, we can reschedule to make up that missed time.

Confidentiality

Therapists are Mandated Reporters, therefore, if and when a client reveals serious intent to harm themselves or another, those specific facts must be shared with the proper authorities. This also includes any information regarding a vulnerable person being abused, like a child, the disabled or an elderly person.
Social Media

Due to the importance of your confidentiality, I do not accept friend or contact requests on Facebook, Linkedin, etc.

Conclusion of our therapeutic relationship

I will not terminate our relationship without an appropriate discussion with you. However, if I determine that the psychotherapy is not being effectively used or if you are in default on payment or if for any reason you’d just like to try another therapist, I am happy to provide you with a list of qualified psychotherapist you may contact. You of course may also choose someone on your own or from another referral source. Relationship dynamics are complicated and finding a good therapeutic fit is a key component to progress.

Acknowlegement of consent

I’d be happy to answer questions regarding any of the above information, during your free 15-minute consultation.

If and when you have read, understood and agree to the items contained in this document you can declare that by clicking the box below and our journey can begin.

Informed Consent
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