Appointments and Cancellations. You are responsible for attending each appointment you agreed upon. You agree to adhere to the following policy: If you are prevented from keeping a scheduled appointment, you MUST notify me 24 hours in advance. If I do not receive a 24-hour advance notice, you will be responsible for paying the full fee for the session you missed, and that such fee cannot be billed to your insurance company. Psychotherapy is a uniquely personal service; therefore, consultations may be briefly interrupted. I will, from time to time, take time off for vacation, to attend seminars, and/or become ill. I will attempt to give you adequate notice in advance and will arrange coverage for any emergencies by a colleague. If I am unable to contact you directly due to circumstances out of my control, I will have a colleague contact you to cancel or reschedule an appointment. FEES: My private pay rate is $185 for the initial 90- minute assessment and $115 per 50- minute session. Couples/ Family therapy sessions are often 80 minutes at a rate of $165 per session. The group therapy rate is $45 per hour session. My practice is “fee for service” and that means that fees are due at the time of your appointment. Additional time will be charged in 15-minute increments. Payments are to be made immediately following each session or previous to the session if distance counseling. I accept cash, checks, debit cards and credit cards. If there is a returned check, the charge will be $35. If you indicate that a third party will be paying for any portion of your bill, an Authorization for Release of Confidential Information would need to be signed. This would allow me to contact that individual and share information regarding your billing/ payment arrangements. Please be aware that if your outstanding balance exceeds $95, I will not be able to schedule further appointments until the balance is paid. In the event that you miss your scheduled appointment time or cancel less than 24 hours, your credit card or debit card on file will be automatically charged. By signing this document, you agree to such cancellation and returned check fees. I reserve the right to terminate our counseling relationship if more than 2 sessions are missed without proper notification. I charge my hourly rate in quarter hours for phone calls over 10 minutes in length, email correspondence, reading assessments or evaluations, writing assessments or letters, and collaborating with necessary professionals (with your permission) f...
Appointments and Cancellations. During the initial consultation, your therapist will attempt to gain a general understanding of your situa- tion and determine the most appropriate treatment. We believe it is important for clients to take an ac- tive part in their treatment, so don’t hesitate to ask questions. Psychotherapy has been shown to have many benefits - better relationships, solutions to specific problems, feeling less distressed. While it is likely that you will make progress, there are no guarantees. If you cancel an appointment, you must notify us at least 24 hours before the scheduled time, or you will be billed the full session rate, not your copay. Insurance will not cover charges for unkept/late cancelled appointments, so you will personally be responsible for such charges. However, there will be no charge if you call at least 24 hours before the appointment time to cancel. There may be valid reasons such as illness, for cancelling without charge. If you have a contagious illness, do not come to the office. Call to cancel, even without 24 hours notice. You will not be charged. FEES AND HEALTH INSURANCE Most health plans cover part of our fee. There are two kinds costs you may incur that are not covered by your insurance company - deductibles and co-pays. Please pay any non-insured portion of the fee before each visit. Horizons contracts with insurance companies to cover our services at rates lower than our standard fees (see below). In such cases, your account balance will be adjusted when we receive insurance payment. However, if the insurance pays less than 100% of the contracted fee, you will owe any bal- ance up to 100% of that contracted fee. Deductibles and co-pays determined by your insurance com- pany may change during the course of your treatment. Sometimes health insurance companies will authorize more sessions than your insurance benefits will pay for. If you see your therapist for visits that are authorized but not paid for by your insurance bene- fits, by signing this form you agree to pay Horizons’ fee, as listed below, for each authorized visit that is not covered by your insurance plan. These are our fees for the following procedures (listed with the code numbers that may appear on the explanation of benefits statement from your insurance carrier): 90791- Diagnostic Evaluation - $200 90834- Individual psychotherapy 45 minutes (38-52 minutes) – $170 90837- Individual psychotherapy 60 minutes (53 minutes and above) – $185 90846/90847- Family psychotherapy, cl...
Appointments and Cancellations. Because the scheduled appointment time is held exclusively for one person or task, the advanced notice of cancellation is required. Cancellation charges are as follows: 24 hours in advance , a fee of $350. Full payment is required for same day cancellations. For more than an hour of scheduled time, 3 business days notice is required or there will be a full charge for those hours.
Appointments and Cancellations. Appointments usually run on a 50 minute hour. It is important to arrive on time. Your appointment cannot be extended beyond the scheduled time as a result of your late arrival. Once an appointment hour is scheduled, you will be expected to pay for it unless you provide 24 hours advance notice of cancellation (unless we both agree that you were unable to attend due to circumstances beyond your control). Similarly, you will be billed the full fee for your session, even if you arrive late. Overdue accounts You are responsible for your account and are expected to pay for all services you receive. Overdue accounts may be charged interest or a minimum late payment fee on a monthly basis. Accounts overdue 60 days or more may be turned over to a collection agency or to an attorney. You will be responsible for the attorney’s fees and costs or collection agency fees in the event that your account becomes delinquent. In most collection situations, the only information I release regarding a client’s treatment is his/her name, the nature of services provided, and the amount due. Payments returned from your bank due to non- sufficient funds will be subject to a returned check fee of $15.00.
Appointments and Cancellations. Because the scheduled appointment time is held exclusively for one person or task, advance notice of cancellation is required. Cancellation charges are calculated as per the table below: Amount of Time Reserved for Consultation, Evaluation, or Testimony Number of Business Days’ Notice of Cancellation Provided Amount of Charge for Canceled Time one hour or less for consultation one full business day (24 hours) no charge less than one full business day notice or no notice full charge more than one hour for consultation or evaluation five full business days (120 hours) no charge less than five business days notice or no notice full charge trial work (scheduled in half-day increments unless otherwise agreed) five full business days (120 hours) no charge less than five business days or no notice full charge for half-day work (four hours)
Appointments and Cancellations. You are responsible for attending each appointment you agreed upon. You agree to adhere to the following policy: If you are prevented from keeping a scheduled appointment, you MUST notify me 24 hours in advance. If I do not receive a 24-hour notice, you will be responsible for paying the full fee of the session you missed, and that such fee cannot be billed to your insurance company. Psychotherapy is a uniquely personal service; therefore, consultations may be briefly interrupted. I will, from time to time, take time off for vacation, to attend seminars, and/or become ill. I will attempt to give you adequate notice in advance and will arrange coverage for my emergencies by a colleague. If I am unable to contact you directly due to circumstances out of my control, I will have a colleague contact you to cancel or reschedule an appointment.
Appointments and Cancellations. Keeping your scheduled appointments is an investment into you or your children and family's personal treatment and recovery. When you make an appointment with Xxxx Xxxxxxx, LCMHC, NCC you are asking a professional to hold a specific block of time for you. In order to efficiently serve the community, Xxxx Xxxxxxx, LCMHC, NCC has instituted a 24-hour notification for canceling an appointment. For couple’s counseling to work effectively, it is important that you attend all scheduled sessions and be on time. If you decide to discontinue the group, we ask that you come to one more session to let the group know and say "goodbye." Emergency cancellations are assessed by the clinician to waive fees when appropriate. If you must cancel a scheduled appointment, please do so at least 24- hours in advance (This can be done on the days the office is closed, eg. days following holidays). Failure to give the proper 24- hour notice will result in a billing you directly for the missed appointment, your insurance cannot be billed for services that are not rendered.
Appointments and Cancellations. You are responsible for attending each appointment and agree to adhere to the following policy: If you cannot keep the scheduled appointment, you MUST notify our office to cancel or reschedule the appointment within 24 of the scheduled appointment time or you will be charged full fee for the sessions. If you cancel or rescheduled more than once, we may re-evaluate your needs, desires, and motivations for treatment at this time. Psychotherapy is a uniquely personal service; therefore, consultations may be briefly interrupted. I may periodically take time off for vacation, seminars, and/or become ill. Attempts will be made to give adequate notice of these events. If I am unable to contact you directly, an associate may contact you to cancel or reschedule an appointment. FEES: The fee for each 60-minute therapy session is $300. Payment is due at the time of service. Acceptable forms of payment are: exact-amount cash, check (insufficient-funds checks will be returned upon full payment of the original amount plus $ for any returned check), or credit/debit card. In the event that a scheduled appointment time is missed or cancelled less than 24 hours, please refer to the “Appointments and Cancellations” policy above. The clinician reserves the right to terminate the counseling relationship if more than 2 sessions are missed without proper notification. The clinician charges his/her hourly rate in quarter hours for phone calls over 10 minutes in length, email correspondence, reading assessments or evaluations, writing assessments or letters, and collaborating with necessary professionals (with your permission) for continuity of care. All costs for services outside of session will be billed directly to your account and must be paid at the next scheduled session.
Appointments and Cancellations. You are responsible for attending each appointment you agreed upon. You agree to adhere to the following policy: If you are prevented from keeping a scheduled appointment, you MUST notify me 24 hours in advance. If I do not receive a 24-hour advance notice, you will be responsible for paying full fee for the session you missed, NO EXCEPTIONS.
Appointments and Cancellations. Appointments are typically scheduled directly with the therapist at the end of the counseling session. Appointments may also be scheduled via the practice website. Appointments scheduled via the website must be secured with a credit or debit card. The standard meeting time for psychotherapy is 45-50 minutes. This allows time for scheduling of subsequent appointments, for payment collection and completion or necessary paperwork. Requests to change the 45-50-minute session needs to be discussed with the therapist in order for time to be scheduled in advance. Appointments that extend beyond the allotted time may be charged additional fees.
