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The following is a summary of information you need to know about me,
my fees and services before beginning psychotherapy. This includes
disclosures the State of Washington requires psychologists to make
to prospective clients. Please read this information carefully and,
if you choose to meet with me, ask me to explain anything you do not
understand.
CREDENTIALS
I am a licensed Psychologist in the State of Washington (#PY 2064). Licensure
ensures that the psychologist has a doctoral degree from an accredited
university and has passed a national written examination as well as an
oral examination given by the Washington State Examining Board of Psychology.
I received the Ph.D. degree in clinical psychology from the University
of Massachusetts, Amherst, in 1995. Additionally, I completed three years
of clinical fellowship at Harvard Medical School, Boston, from 1993-96.
DEFINITION
AND COURSE OF TREATMENT
Treatment is psychotherapy designed to meet the specific needs of an individual,
couple, or family, and involves verbal dialogue between the psychologist
and client. Initially we will focus on information gathering and problem
assessment, to be followed by the definition of mutually agreed upon goals
for treatment. Subsequent psychotherapy sessions will focus on working
toward the defined treatment goals, which may be revised as part of that
process. Progress is achieved usually via the development of insight and
self-understanding related to the defined problems and goals. Treatment
is ended gradually as the goals are reached. Clients are required to become
active participants in all stages of treatment. The length of treatment
will vary, and is usually determined by the client's goals, motivation,
and resources.
CLIENT
RIGHTS, RESPONSIBILITIES, CONFIDENTIALITY
Clients have the right to request a change of therapy, referral to another
therapist, or to discontinue therapy at any time. Additionally, clients
are responsible for choosing a treatment provider and type of therapy
that best suit their needs. I encourage you to raise questions regarding
therapeutic approaches and progress. You may bring up any questions or
concerns you have about me, my services, fees or policies at any time.
For major problems that you feel remain unresolved, or if you feel I have
acted in an unethical or unprofessional manner, you may contact my licensure
board at: Department of Health, Examining Board of Psychology, P.O. Box
47868, Olympia, WA 98504-7868.
All client-psychologist
communications are considered privileged, and may only be disclosed under
specific circumstances such as when a client has requested release of
the information and signed a valid disclosure authorization. Additionally,
psychologists are required by law to break confidentiality under the following
circumstances: If the psychologist learns that a child, adult dependent
person, or a vulnerable adult is being abused or neglected; if the psychologist
believes a client is a danger to himself, herself, or others, or is unable
to meet basic needs essential to his or her health and safety (and no
one else is providing for those needs); if the psychologist is being investigated
for disciplinary matters.
APPOINTMENTS
Call me at (206) 991-3710 and leave a message. Let me know that you are
a new patient interested in scheduling an appointment. Don't forget to
include your phone numbers and good times to reach you.
OFFICE
Located on Greenwood Ave. in Phinney Ridge, I share this quiet, confidential
space with two other psychotherapists. There is free parking at the office.
EMERGENCIES
If you have an emergency, call me at (206) 991-3710 and leave a voicemail
message. I will be paged and will return your call as soon as possible.
Please be aware that I am not always available to return your call immediately.
If I do not return your call within the time your emergency requires,
you should either call the crisis line in Seattle at (206) 461-3222, go
to your nearest emergency room, or call 911.
FEES
The fee for the initial therapy appointment is $150. Each subsequent visit
is $125. Payment is due upon receipt of service. In cases where I have
a contract with an insurance company these fees are often lower. I see
some clients at a reduced fee based on financial need. I will try to answer
any questions you have about fees, but you may have to contact your insurance
company for some questions. Separate fees apply for psychological testing
and report writing. Fees for court appearances and other interactions
with the legal system are higher, and range from $250 - $500 per hour.
CANCELLATION
POLICY
Therapy appointments are 45 minutes in length. There is no charge for
appointments cancelled with 24 hours notice. A fee of $75 is charged for
missed appointments and appointments cancelled with less than 24 hours
notice. Insurance does not cover this fee, so it is the client's responsibility
to pay it. Payment of this fee is due at the beginning of the next scheduled
session. Psychologists have the right to use collection agencies and small
claims court to pursue delinquent accounts.
INSURANCE
COVERAGE
If you use insurance for payment, I will provide billing for you. The
amount not covered by your insurance (e.g. deductible, copay) is due at
the time of service. Payment for services is your responsibility, so I
ask you to keep track of billings and payments. If you have questions
at any time, do not hesitate to ask me.
Most managed care
companies require pre-authorization before seeing a psychologist, and
it is the client's responsibility to obtain it. If you have not obtained
pre-authorization, please tell me in your first visit. Some insurance
companies require more detailed information, such as symptom lists or
treatment summaries, in order to process claims. I will request your authorization
to release the information necessary to bill your insurance company.
If you change
insurance carriers, please notify me immediately. Do not assume that your
new carrier will cover your treatment. If you have a choice of new carriers,
you may want to check which ones recognize me as a provider and pay for
my services.
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