Payment and Cancellation
I will inform you of my fees when you call.
I am on most major insurance panels. Your eligibility, co-pay and deductible can be determined prior to your first session if you provide me with your insurance information.
Payment and Cancellation
Credit cards, checks and cash are accepted as payment.
Cancellation policy requires 24hrs advance notice. Appointments cancelled with less than 24hrs will incur a $100.00 fee.
Confidentiality
The law protects the relationship between a patient/client and a therapist. Information can almost never be disclosed without written permission. Children, dependent on age, also have rights to confidentiality. In certain circumstances, the law requires a therapist to break confidentiality to protect the safety of the client and others. These include suspected child abuse or dependent adult or elder abuse, threat of potential homicide or serious harm to others, or risk of suicide or other self-harm. There are other times when information may be disclosed. This will be explained when you come to your first appointment.
Availability
I am currently accepting new clients on Monday and Thursday.
Communication
I can be reached by telephone at (773) 970-9695 if you leave a message, I will respond within 24 hrs.
Please fill out the intake forms prior to our appointment.
Client Intake
Consent to Release Information
Limits of Confidentiality
Informed Consent for Online Therapy
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visitwww.cms.gov/nosurprises or call (800) 368-1019.