Policies and Procedures

Confidentiality

The information you share with us is protected by confidentiality.  This means that we will not share your information with anyone, except our supervisor (who we use to improve our skills) without your written permission.  

There are a few exceptions to this rule that you should be aware of.  Confidentiality must be broken if 1) you tell us that you are going to harm/kill yourself or someone else, 2) you report a child or vulnerable adult that is being abused or neglected, and/or 3) our records are subpoenaed by the court.  

We will always seek your permission/inform you before releasing information (even with compulsory reports) and we keep our counseling records with confidentiality in mind.

Fees and Billing

Fees will be discussed before counseling begins and any changes in payments during the course of counseling will be discussed as soon as possible.  Fees set by the insurance company are not negotiable.  We do reserve a few spots for those without adequate insurance coverage and financial difficulties.  

We ask for a 24 hour notice for cancellations or reschedules.  We reserve the right to charge the full fee for the session (as set by your insurance company or decided on with the counselor) if you cancel/reschedule within 24 hours.  Exceptions will be made for emergencies.

We do not utilize a collection agency for past due balances so payment is due before your counseling sessions begins unless other arrangements are made with your counselor.  Small balances are allowable, however, patients will not be seen with balances over $100.

Session Attendance

Your appointment is an hour that is reserved just for you and we ask that you respect this time.  Patients who have a pattern of last minute cancellations can be denied "prime" appointment slots (usually in the evening).  Furthermore, it is your responsibility to contact your counselor for appointments and patients will be discharged after 60 days of inactivity.  You are always welcome to contact us again in the future when you are ready to reenter therapy.

Contact Outside of Session

Contact outside of session will be limited to professional interactions and should be limited to emergencies or appointment scheduling unless already discussed with your counselor.  Text messaging can be used for appointment scheduling but we ask that patients use Signal for any messages containing possible private information.  Signal offers additional encryption for messages to protect your confidentiality.

App Services

Patients will have free access to Pacifica during the course of their therapy, at their request.  Pacifica is an app that uses cognitive-behavioral therapy and mindfulness for mental health issues.  To gain free access, patients must agree to give permission to their counselor to see the information they input in the app.