Thank you for considering my services for your healthcare needs. Below you'll find details on fees, insurance, scheduling, and other policies — please review these terms of consent before your appointment.

 

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 through Headway and also see clients on an out-of-network, fee-for-service basis. My fee-for-service rates are:

• Initial 60-minute appointment: $600

• 45-minute follow-up appointment: $450

• 30-minute follow-up appointment: $300

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2. Payment

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

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3. Insurance and Out-of-Network Services

I am currently in-network with Aetna through Headway. Aetna patients receiving services through Headway are subject to their individual insurance plan’s coverage, copayments, deductibles, and other applicable terms.

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For individuals who do not have Aetna or prefer not to use insurance, I also offer out-of-network, fee-for-service appointments. Upon request, I can provide appropriate documentation that you may submit to your insurance company for possible out-of-network reimbursement. Reimbursement is determined by your individual insurance plan and is not guaranteed.

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4. Scheduling Appointments and Prospective Patient Communication

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

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I do not schedule appointments through third parties, including family members, partners, friends, or other representatives. All appointment scheduling and communication regarding prospective treatment must take place directly with the prospective patient. I will only communicate with the prospective patient regarding their inquiry and potential care.

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5. Scope of Practice and Age Range

My practice specializes in the psychiatric treatment of adults between the ages of 18 and 64. 

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6. Confidentiality

Your privacy is of the utmost importance to me. Information shared during treatment will be kept confidential in accordance with applicable laws, regulations, and professional standards, subject to legally required exceptions to confidentiality.

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7. Communication

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

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8. Record Keeping

Accurate clinical records will be maintained as required for treatment and in accordance with applicable laws and professional requirements. If you require copies of your records, please submit a request in writing.

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9. Acceptance of Terms

By scheduling an appointment and utilizing my services, you acknowledge that you have read, understood, and agree to these terms.