Starting
Appointments
To set up a therapy appointment, or for more information, please call 310 555 1212
Office Hours & Locations
Los Angeles
310 555 1212
80 Santa Monica Boulevard
Los Angeles, CA 90210
Tuesday – Thursday: 8PM – 8:30PM
Friday: 8PM – 5:30PM
Santa Barbara
805 555 1212
90 State Street
Santa Barbara, CA 93103
Monday: 4PM – 10PM
Saturday – Sunday: 8AM – 2PM
Rates
Individual – $180 – $200 per session
Couple – $225 – $250 per session
Sliding Scale
A limited number of time slots are available for patients who have GHI insurance or demonstrate need for a reduced rate.
Insurance
I accept a limited number of GHI patients, but am out-of-network for all other insurance carriers. I will provide all the necessary paperwork for patients to be reimbursed by their insurance provider. Many of my patients receive some form of reimbursement from their insurance. Please call your insurance provider to determine your coverage.
Payment
Co-payment is due at the end of each session. Cash, checks, and Venmo and credit cards.. An additional service fee will be added to all credit card charges.Will not accept credit cards for GHI co-pays.
Cancellation Policy
If you do not show up for your scheduled therapy appointment and have not given at least a 24-hour advance notice of your appointment cancellation, you will be required to pay the cost of the full session.
Please fill out the intake forms prior to our appointment.
Client Intake
Consent to Release Information
Limits of Confidentiality
Informed Consent for Online Therapy
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visitwww.cms.gov/nosurprises or call (800) 368-1019.