Request a Meeting
Please use the form on this page or e-mail: email@example.com to schedule a meeting.
– Please include your mobile phone number as I am likely to text you back.
Your information will not be shared with anyone unless you have provided verbal or written permission to do so. However, to ensure safety there are some exceptions to this rule. Information that will be disclosed without your permission includes:
- You share information indicating intention to do serious physical harm to yourself or another person.
- You give information about child or elder abuse.
- A judge orders me to provide information about you.
- If accounting needs to involve a third party in order for collection of fees to occur.
No Surprises Act - Good Faith Estimate
Notice to clients and prospective clients:
Under the law, health care providers need to give clients 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, or at any time during treatment.
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, or how to dispute a bill, see your Estimate, or visit www.cms.gov/nosurprises.