ONLINE THERAPY and ONLINE COUNSELING
All Clients: Due to ongoing public health concerns, I am conducting online therapy and online counseling only, via Doxy.me (HIPAA compliant) until further notice.
Returning Clients: Please complete the new HIPAA & Consent to Treat form and email it to me prior to our next scheduled appointment.
New Clients: Please complete all of the paperwork in the blue box to the right and email to me at email@example.com (HIPAA compliant) prior to our first appointment.
|Monday||11:00 am — 8:00 pm|
|Tuesday||11:00 am — 8:00 pm|
|Wednesday||11:00 am — 8:00 pm|
|Thursday||11:00 am — 8:00 pm|
|Friday||11:00 am — 8:00 pm|
|Saturday||11:00 am — 8:00 pm|
|Sunday||11:00 am — 8:00 pm|
To reach me quickly, email firstname.lastname@example.org and include your phone number. You are welcome to leave me a voice mail, but this will delay my response time significantly.
Please complete all forms in the blue box to the right (for both online therapy and in-office therapy) and email them or bring them with you to your first therapy and counseling appointment.
ONLINE THERAPY and ONLINE COUNSELING FEES
Planning for the required financial investment in therapy and counseling is an important part of the process. Payment can be made with FSA, HSA, debit card, or credit card. For accounting reasons, I am unable to accept cash or checks.
|1 hour Online or In-Office Therapy||$240|
|1.5 hour Online or In-Office Therapy||$360|
|2 hour Online or In-Office Therapy||$480|
|3 hour Trauma Resolution Intensive||$720|
Trauma Resolution Intensives are ideal for women who want an individualized “workshop” to make significant progress immediately. Intensives are preceded by an Initial 1 hour Consultation appointment.
I am not contracted with any insurance panels. However, if your policy offers out-of-network mental health benefits, you may submit a Superbill (procedure below) to your insurance company and request that they reimburse you directly.
NEW SUPERBILL PROCEDURE
- Download the PDF Superbill, select Export PDF and Convert to Microsoft Word.
- Select Save as and choose the location you will save to.
- I recommend you name documents by Item, Month, Year – Superbill MLO July 2020.
- Open the downloaded, converted form and complete the red sections.
- Email the Superbill Word Document to email@example.com.
- I will complete the form and email it back to you.
- Superbill requests are returned each Monday.
2-DAY CANCELLATION POLICY
Please notify me at least 48 hours in advance of a cancelled or missed appointment to avoid being charged in full for my time. Email your cancellation to firstname.lastname@example.org. Cancellations are not accepted by text or voice mail. Thank you for your understanding.
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