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POLICIES
- I will provide all required insurance information when checking in for my appointment and will update any changed insurance information before the next visit.
- I authorize (co) payment in full to be made directly to this provider on the day of the appointment for all rendered services. This can take the form of cash, check or debit/credit card.
- I understand that the information my insurance company provides to me or Altman Psychiatric Associates is not a guarantee of the benefits provided or paid by my insurance company. I understand that I am responsible for payment of services I receive, whether or not my insurance company covers these services.
- I understand that it is my responsibility to pay any co-pay, deductible or co-insurance amount not paid by my insurance and this is due at the time of each visit. If payment is not made at the time of the scheduled appointment, a $10.00 administrative fee will be assessed.
- I understand that there is a $30.00 service charge for all returned checks.
- I understand that there is a minimum of $5.00 added to all amounts unpaid within 60 days from the date of service.
- Accounts that are 90 days past due or exceeding $200 will be subject to appointment cancellation and possible collections.
- There is a minimum $25 charge for releasing medical records plus $0.50/page for every page above 20 pages.
CANCELLATIONS AND MISSED Appointments:
The client is expected to attend each scheduled session on time. A canceled or delayed appointment delays our work and can negatively impact other clients. Since your appointments involve the reservation of time specifically for you, and out of respect for your therapist and our other clients, a minimum of 24 hours notice is required for rescheduling or canceling an appointment. We appreciate more than 24-hour notice when possible, as we can then make that time available to other clients. Therefore, if you should know before the required 24-hour notice that you will not be able to attend our session, PLEASE call the office or text the provider to cancel an appointment.
WHEN NO SHOW/LATE CANCEL FEE IS WAIVED
The only exception to this cancellation policy is in the event of a serious or contagious illness or emergency. We offer one grace for these purposes every six months. Some examples of emergencies are car accidents, deaths in the family, or extreme illness. Work issues do not constitute emergencies. This cancellation policy also applies even if missing the appointment was an unintentional act. In the event of prohibitive weather, we can conduct the session on the phone or via video (individual counseling).
FREQUENT CANCELLATIONS OR MISSED APPOINTMENT- Frequent cancellations (3 or more in 6 months or 2 consecutive) and/or missed appointments (no show) will result in the termination of treatment. If you have arranged with your therapist to have recurring appointments, the next recurring appointment will stay on the calendar. Therefore, please call the office if you choose to cancel that appointment to avoid a second No Show/Late Cancel charge of $80. A voicemail is sufficient as they are date and time-stamped. The recurring appointment will be removed after the second consecutive No Show/Late Cancel.
FEES FOR NO-SHOWS & LATE CANCELLATIONS:
Anytime you fail to attend a scheduled appointment without giving appropriate prior notice of cancellation, you will be charged $80 for the no-show session. The credit card information or other payment information you previously provided will be used to process this payment. By providing us with your credit card information or booking an appointment, you consent to this policy. Multiple no-shows will result in the termination of therapy.
WAITING TIME:
Your wait time is kept to a minimum. Due to the length of time provided for each appointment, it is critical that you arrive on time for your appointments. If you are more than 15 minutes late to your appointment, we will have no choice but to reschedule your appointment and you will be responsible for the $80 fee of a no show. To avoid paying no show fees, we require at least twenty-four (24) hours’ notice for all cancellations (as described above). Both therapist and client have a grace period of 15 minutes.
THANK YOU!!!
We value you as a client and hope to help you with your future endeavors; however, we can only accomplish this with your understanding of your obligations set forth in this policy and consistency with treatment. Thank you for your understanding. Your therapist looks forward to beginning this therapeutic journey alongside you!