PAYMENT: Payment is required at the time services are rendered. Acceptable methods of payment include cash, check, and credit card.

INSURANCE: Insurance co-payments are due at the time of service. In addition, if your insurance deductible has not yet been met, you will be billed the full charge for services. As a service to you, we may bill your insurance. However, we cannot guarantee insurance coverage. Please be advised that in some instances, insurance companies refuse to pay for services for whatever reason. You are responsible for all fees not covered by your insurance. Certain information, including type of treatment, costs, dates, and providers, may be shared with your insurance company for reimbursement purposes.

OUTSTANDING BALANCE: You are responsible for paying any outstanding balances that insurance companies have not covered. Once we receive an Explanation of Benefits from your insurance company, we may need to adjust your balance based on the contracted rate. If you discontinue treatment, you are still responsible for outstanding balances on your account. Please be advised that if your clinician does not receive payment for services, she may discontinue your treatment.

THIRD PARTY PAYMENT: If your parent or legal guardian is paying for treatment, they must make financial arrangements with our Office Manager and sign a third party financial agreement prior to your next appointment.

LATE FEES: A late fee of $25 will be charged to accounts that are not paid by the due date indicated on your first bill. If payment is not received by the third due date, your delinquent account will be referred to collections and you will be responsible for all associated collections and legal fees.

CANCELLATIONS / NO SHOWS: You will be charged a rate of $50 for a missed appointment or cancellation with less than 1 business day notice, i.e. Monday appointments need to be cancelled by the preceding Friday.

RETURNED CHECK: In the event that a check is returned, you will be charged a $35 fee, in addition to any bank fees. In the event that a second check is returned, you will be charged the same fees and have to arrange another method of payment.

PHONE CALLS: Typically there is no charge for phone calls. However, phone calls that are extended or constitute therapy may be billed at our standard hourly rate, depending on the circumstances.

PSYCHOLOGICAL TESTING: It is often the case that for psychological testing insurance companies will not reimburse or will reimburse at such a minimal rate that we are not compensated for our time and/or materials. In this event, you are responsible for all testing charges.

ADDITIONAL SERVICES: In some circumstances, depending on the time involved and nature of task, you may be charged for additional services, such as extended sessions, scoring psych testing, preparing a psych report, writing letters of advocacy or documentation on your behalf, and extended consultation with other providers regarding your treatment.