Welcome to my practice. The information provided below identifies patient’s rights and responsibilities:

• A therapy session will last for forty-five minutes.
• Confidentiality is strictly maintained unless there is a risk to self or others as judged by the therapist.
• If you have a crisis which needs immediate assistance and you cannot reach me, please go to your local emergency department.
• Cancellation notice is required twenty-four hours prior to a scheduled session to avoid charges for missed appointments.
• In the case of a referral to another facility or provider, information will only be released with your written consent.
• Insurance claims will be handled by the patient. A bill will be provided at each session that can be used to obtain reimbursement.
• I provide a copy of your specific rights as a patient and health care recipient.

New clients should print and sign the PRIVACY FORM and fill out the NEW PATIENT INFORMATION FORM and bring them to their first session.