Privacy

It is essential to support the comfort of our clients by taking the additional measures necessary to protect and maintain privacy in regards to the legal, ethical and professional requirements as a licensed marriage and family therapy.

Unless formally authorized, I will not acknowledge your identity as a client and will not speak to or disclose any information to your significant other, partner, family, or friends. 

All phone and email communication will be exclusively managed by me. 

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 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 healthcare services, including psychotherapy 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, visit www.cms.gov/nosurprises.

Limits to Confidentiality

If a client discloses a plan or threat that indicates intentions to self-harm or to harm another person. 

Suspicion of child abuse, elder abuse, or dependent adult abuse. 

A child witnessing domestic violence, although domestic violence in itself is not reportable.

When a court order has been placed. I will always assert privilege on behalf of my clients and will do my best to advocate for what is my client’s best interest.

In a medical emergency, such as the client requiring immediate medical attention.

Insurance companies and other third-party payers are given information that they request regarding services rendered to the clients who have elected to use insurance or “Superbills” for reimbursement from their insurance companies/third-party payers. The type of information that may be requested includes date and times of service, diagnosis, treatment plan, case notes, etc.