Services and Fees
Services and Fees
Service Description
Outpatient services include individual and family therapy. A therapy session consists of a 45-55 minute
appointment with the remaining time allowing for the necessary documentation. Clients are entitled to
receive information about the methods of therapy, the techniques used, the duration of therapy, and
fee structure. You can choose to terminate therapy at any time.
Clients’ Responsibilities
People utilize therapy to help change what are often significant aspects of themselves (attitudes,
behaviors, emotions, etc.), their relationships, or other circumstances in life in order to reduce or
alleviate problems and to lead a more fulfilling life. As a client, you will be expected to take an active
role. As a professional, I can assist in affecting change, but cannot guarantee a specific outcome. You
will determine the direction and be ultimately responsible for growth.
Confidentiality
All information you reveal will be treated strictly confidential according the HIPAA regulations. This
means that the information will not be shared with anyone with the following exceptions: 1) when you
have given written consent to share the information with a specific person or agency, 2) when it is
deemed that you are at risk of hurting yourself or another person, and 3) Iowa law requires that child
abuse or dependent adult abuse be reported to the Department of Human Services.
If you are referred by a physician or other health care professional, it is professional courtesy to
maintain contact as necessary with that referral source.
Referral
It is sometimes necessary to make a referral to another mental health professional to better
accommodate you needs. If this is the case, every effort will be made to help you find an appropriate,
affordable source of help. It may also be beneficial to make a referral to another source of help, such as
a psychiatrist, lawyer, or self-help group. Your written permission would be obtained before any
information could be released. In the event you require paperwork to be filled out for another provider,
agency, or individual, we ask for 10 business days to get such forms completed.
Termination
You may terminate therapy at any time. Therapy is generally terminated once you have met your goals.
Therapy may also be terminated due to consistent not showing for appointments, nonpayment, or lack
of progress.
Financial Expectations
The fees for a therapy session range from $120 to $160 depending on length of session. The fee for an
intake assessment is $200. Payment is required at time of service. It is your responsibility to contact
your insurance company to verify coverage. You are responsible for any services not covered by your
insurance. If you choose not to have your claim submitted to your insurance, you are responsible for
100% of the fee. Unpaid bills will be sent to Credit Management Systems for collection of payment.
Cancellation Policy:
Your success is dependent on attending scheduled sessions. If you are unable to make an appointment,
please cancel 24 hours in advance. If you do not cancel 24 hours prior to your appointment time, you
may be subject to a $75 no-show fee.
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