Thank you for considering my services for your healthcare needs. Please read these terms of consent carefully before proceeding. By scheduling an appointment, you acknowledge and agree to the following terms.

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1. Fee Structure:

I am currently in-network with Aetna, Anthem Blue Cross and Blue Shield, United Healthcare and Oxford through www.headway.co and I also offer fee-for-service appointments for those who are out-of-network. The fees for appointments are as follows:

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- Initial 60-minute appointment: $600

- 45-minute follow-up appointments: $450

- 30-minute follow-up appointments: $300

 

2. Payment:

Payment for each appointment is due at the time of service, typically via credit/debit card. A receipt will be provided upon request for your records. 

 

3. Insurance and Reimbursement:

I am currently in-network with Aetna, Anthem Blue Cross and Blue Shield, and Cigna through www.headway.co and I also offer fee-for-service appointments.

 

4. Scheduling Appointments:

After you express your interest in scheduling an appointment, I will contact you via email to coordinate a suitable date and time, and to provide you with required documents for the intake appointment. Please ensure that the email address you provide is accurate and regularly monitored.

 

5. Confidentiality:

Your privacy is of the utmost importance to me. All information shared during our appointments will be kept strictly confidential, in accordance with applicable laws and regulations.

 

6. Communication:

While I strive to maintain the security of electronic communication, please be aware that email communication is not entirely secure. By agreeing to these terms, you acknowledge that there is a minimal risk of unauthorized access to our email correspondence.

 

7. Record Keeping:

Accurate records of our sessions will be maintained for clinical purposes. If you require copies for your records, please make a request in writing. 

 

8. Minors and Guardians:

I do not see patients under the age of 18. If you are seeking services for a minor, please be aware that I am unable to provide treatment.

 

9. Acceptance of Terms:

By scheduling an appointment and utilizing my services, you indicate your acceptance of these terms of consent.

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