Welcome to my practice. This section contains important information about my professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPPA), a federal law that provides privacy protections and patient rights with regard to the use and disclosure of your Protected Health Information (PHI).
Although these documents may be long, and sometimes complex, it is important that you read them carefully before our next session. We can discuss any questions you have about the procedures at that time.
Therapy is a relationship between people that works in part because of the clearly defined rights and responsibilities held by each person. This frame helps to create the safety to take risks and the support to become empowered to create change.
Psychotherapy has both benefits and risks. Risks include experiencing uncomfortable feelings. Psychotherapy often involves discussing unpleasant aspects of your life. However, psychotherapy has been shown to have benefits for individuals who undertake it. Therapy often leads to a significant reduction in feelings of distress, increased satisfaction in personal relationships, greater personal awareness and insight, increased skills for managing stress, and resolutions to specific problems.
Therapy involves a large commitment of time, money, and energy, so you should be very careful about the therapist you select. If you have questions about my procedures, we should discuss them whenever they arise.
Fees
I commit to providing cutting edge, high impact psychotherapy.
For individual therapy my standard fee is $150 per 50 minute session. Payment is expected at each session via credit card, cash or check. A receipt and/or superbill upon request with all the information you may need to submit for “out of network” reimbursement is available. For longer sessions (e.g. 100 minute EMDR) my fee is $300. My fee for Intensives is $360, these are two hour blocks that we have agreed upon with a specific goal in mind. (see services, intensives).
A prorated charge based on my 50 minute session, is applied for other professional services that you may require. This includes; report writing, telephone contact that last longer than 10 minutes, and attendance at meetings or consultations with other professionals which you may request of me.
Finally, if you become involved in a legal matter that requires my participation my fee is $300 per hour. This includes preparation and attendance at any legal proceeding for the professional time required, even if I am compelled to testify by another party.
Insurance
I am an out-of-network provider for your insurance company. This means that I will give you a superbill to submit. These superbills are prepared monthly. You will pay my fee directly to me, and the insurance company will reimburse you according to your specific plan policy.
Psychologist services are typically covered if you have mental health benefits. But if reimbursement is important to you, please contact your insurance for specific information.
Forms
Please read through the forms below prior to our session. In this section you will find a form called a Colorado Notice Form. This a therapeutic agreement clearly outlining both of our responsibilities as we enter into the therapeutic relationship.
You will also find a form called Release of Medical Information. I will ask you to sign this if you are intending to use insurance to pay for part of your costs related to psychotherapy.
Please be assured that I will use utmost discretion in disclosure, limiting claims to include date of service, diagnosis, and as generic description of the session as is ethically appropriate. Your rights regarding confidentiality are outlined, including any limits to privacy. Please ask me any questions you have regarding these forms.
Download Forms Here
Authorization to Release – PDF or Word document
Colorado Notice Form 2013 – PDF or Word document
Confidentiality – PDF or Word document
Disclosure and Information – PDF or Word document
General Practice Information – PDF or Word document
Signature Form – PDF or Word document