Practice Policies

Clear expectations around scheduling, attendance, communication, and billing help protect the therapeutic relationship and minimize misunderstandings. Please review the following policies before beginning services.

Session Fee

The standard therapy session fee is $240 per session.

Fees for other professional or clinical services will be discussed with the client or responsible party when applicable.

48-Hour Cancellation & Rescheduling Policy

Appointments are individually reserved for each client. For this reason, at least 48 hours’ notice is required to cancel or reschedule an appointment.

Appointments canceled or rescheduled with less than 48 hours’ notice may be charged the full $240 session fee.

Requesting a different appointment time does not automatically cancel the existing appointment. A scheduling change is considered confirmed once the therapist and client have mutually agreed upon the new arrangement.

If the therapist is unable to provide a scheduled appointment, the client will not be charged for clinical services that were not provided.

15-Minute No-Show Policy

Clients are responsible for attending or joining their appointments at the scheduled time.

If a client has not arrived or joined the session within 15 minutes of the scheduled start time and has not communicated with the therapist, the appointment may be closed and considered a no-show.

No-show appointments are subject to the full $240 session fee.

Clients who experience an unexpected technological, connection, or scheduling problem should contact the therapist as soon as reasonably possible.

Treatment Modalities

Depending upon clinical appropriateness, availability, informed consent, and the treatment arrangement, services may be offered through:

• In-person therapy

• Zoom/telehealth therapy

• Telephone therapy

• Voice-note therapy

• In-home therapy

• Dog-assisted therapy

Applicable attendance, cancellation, communication, and financial policies apply across treatment modalities.

Telephone & Voice-Note Therapy

When mutually agreed upon as part of treatment, substantive therapeutic communication provided by telephone or recorded voice messages may constitute a professional clinical service and may be billed according to the fee arrangement discussed with the client.

Brief administrative or routine scheduling communications are distinguished from substantive therapeutic services.

Voice notes, text messages, email, and other asynchronous communications should not be used as emergency or crisis services, and an immediate response cannot be guaranteed.

Adult Clients

For every adult receiving therapy, the adult receiving treatment is the client, regardless of whether a parent, spouse, partner, family member, or another person pays for services.

Communication regarding an adult client’s treatment, appointments, attendance, and account will ordinarily occur directly with the adult client, subject to applicable confidentiality requirements.

If another person is paying for treatment, the adult client is responsible for communicating relevant billing information to that individual.

Third-party payment does not, by itself, authorize the therapist to disclose confidential information or discuss the adult client’s treatment with the person providing payment.

Minor Clients

Before services are scheduled for a minor, the parent/legal guardian and/or adult financially responsible for treatment, as applicable, is expected to review the practice policies relevant to scheduling, attendance, cancellations, fees, and billing.

Questions regarding financial responsibility or practice policies should be addressed before treatment whenever possible.

Additional consent, custody, confidentiality, and authorization requirements may apply when treating minors and will be addressed as part of the informed-consent process.

Billing Questions

Clients and financially responsible parties are encouraged to review charges and raise questions promptly.

When questioning a charge, please identify the specific date of service or charge so the corresponding documentation can be reviewed.

Legitimate billing errors, including duplicate or incorrect charges, will be corrected when identified.

Once a billing concern has been reviewed and the relevant documentation and account records have been reconciled, the administrative review will generally be considered complete unless new information reasonably indicating an error is provided or further review is required by applicable law or professional obligations.

Completed Services & Refunds

No refunds are provided for appointments or professional clinical services that have already occurred and were provided.

Payment for a completed therapy appointment represents payment for professional services rendered and does not guarantee a particular therapeutic outcome.

After a client is no longer in care, refunds will not be issued for previously completed appointments or professional services provided during treatment.

This policy does not prevent the correction of a legitimate billing error, duplicate payment, or adjustment otherwise required by applicable law or professional obligations.

Superbills

Superbills are available upon request.

When applicable, clients may request a superbill for submission to their insurance company for potential out-of-network reimbursement.

The practice cannot guarantee reimbursement. Coverage, deductibles, reimbursement rates, eligible services, and other insurance benefits are determined by the client’s individual insurance plan.

Unless otherwise arranged, clients are responsible for submitting superbills to their insurance carrier.

Responsibility for Reviewing Policies

These policies are provided so clients and responsible parties have clear information regarding the administrative and financial expectations of treatment.

Adult clients are expected to review the applicable policies before beginning services. For minor clients, the applicable parent/legal guardian and/or financially responsible adult is expected to review the relevant policies before scheduling treatment.

Questions are always welcome before treatment begins so that expectations can be clarified.

Formal informed consent and any additional treatment-specific agreements are addressed separately as appropriate.

These practice policies are subject to applicable law, licensing requirements, ethical obligations, and individualized treatment agreements. When those requirements differ from a general practice policy, the applicable legal, ethical, or professional requirement controls.