Before we can discuss what is bringing you to therapy we need to establish a framework for working together. Therefore, part of the first session requires that you and I discuss the forms below. The paperwork ensures that you and I are on the same page about what you can expect from me, my expectations of you, and how I operate within my practice. Below are some bullet points of what you can expect.
1. We will review the following forms:
2. If you are using your insurance to pay for services, I will make a copy of your insurance card.
3. We will discuss what is bringing you to therapy.
Yes. I recognize that most clients prefer to make the first session more about what they hope to gain from therapy versus paperwork. That's why I've made the forms available. To save some time , please download the forms below.
Forms to download:
Please complete each form to the best of your knowledge, provide your signature and the date you signed, and bring the forms to your first session. You can also save additional time by providing a copy, front and back, of your insurance card.
I am in-network with the following insurance companies:
Please contact your insurance company to verify coverage and to understand your insurance benefits for behavioral health services including your copayment, if there is a limit to how many sessions you will be covered, and services allowed.
Insurance companies require that a mental health diagnosis is provided for reimbursement. This means that you will receive a mental health diagnosis. Additionally, health insurance companies can request access to your medical records.
I recommend that you contact your insurance company directly and ask about your out-of-network benefits. You can find their phone number on the back of your insurance card.
You will be asked to pay my full fee at the beginning of each session. I will provide you with what is referred to as a Superbill, which is an itemized form that lists what services were provided to you and at what rate. The Superbill is provided on a monthly basis. You will then provide the Superbill to your insurance company for reimbursement.
Payments are collected at the time of service.
I accept cash, check and credit card payments.
Yes. I view therapy as a creative web of different treatment ideas and work from a foundation of integrating the mind and body. Therefore you can expect some yoga-based skills to be part of your therapy.
I understand that the idea of yoga-based services might be a new experience, therefore I invite you to read more about these services.
If you're having a life-threatening emergency, please call 9-1-1 or go the nearest emergency room. You can also contact the Access Hotline, within the LA County area, at 1-800-854-7771.
If you have an emergency that is not life-threatening, please don't wait for me to return your call immediately. I make every effort to answer and return all phone calls and emails within 24-48 hours.
Absolutely. I make every effort to notify clients two weeks prior to any vacation scheduled and clients are provided with contact information for the Therapist providing coverage both verbally and written. Additionally, my voicemail will have the dates of my vacation and contact information for the covering Therapist in the event that the written notice is misplaced.
In the event that I have to cancel your session due to personal illness or a personal emergency, I will try to reschedule your session within the same week or schedule a phone contact.
Yes. Coordination of care is extremely important. If you choose to authorize my communication with an outside professional or third party, I will require you to sign the Authorization for Use/Release of Mental Health Information form which you can download here.