Last updated: 05/19/2019
Fees and Rates
All fees are due at the time of service.
If you need a monthly invoice, we require that you pay at the first session of the month for the projected number of therapy sessions you will receive during the month. If there is an illness, we will carry-over the payment to the next month.
A $10.00 service charge will be charged for any checks returned for any reason for special handling.
The evaluation fee is per hour and is based on the total time spent on the evaluation process (testing, scoring, analyzing results, formulating recommendations, and writing the report).
The fee for therapy is based on a session duration and includes the time spent in direct therapy and consultation with family.
You acknowledge and accept full and complete responsibility for prompt payment for all services rendered by The Center for Mental and Sexual Health. You are responsible for filing claims with your insurance and payment for services.
You understand that health insurance policies and reimbursement are between yourself and your health insurance company, and that all services rendered by The Center for Mental and Sexual Health for the benefit of yourself or dependents are charged directly to you, and you are personally responsible for payment in full to The Center for Mental and Sexual Health.
You understand that if your outstanding balance due to The Center for Mental and Sexual Health for treatment becomes Five Hundred Dollars ($500.00) or more, The Center reserves the right to withhold therapy up to and until such balance is paid in full.
Payments may be made with credit/debit/health card. If your payment is declined after your session, you will have 72 hours to remedy payment.
If no payment is received a 4% late fee will be charged after 30 days. After 60 days of no payment, The Center for Mental and Sexual Health will begin collection activities which may include contacting an outside collection agency.
There will be a charge of $30.00 for 15-minute increments of any written documents for insurance or other companies related to your program. This does not include a treatment plan written and revised every 6 months. You will be informed of the cost of writing or editing these documents prior to the task. Please remember that it is your responsibility to check with your insurance on what are acceptable codes covered by your plan.
Comprehensive Evaluation - $150.00 per hour
Video Consultation - $150.00 per 50-minute session
Video Therapy (Individual or Couples) - $150.00 per 50-minute session
$50.00 per 50-minute session per person.
APPOINTMENTS AND CANCELLATION
Please remember to cancel or reschedule 24 hours in advance. You will be responsible for the entire fee if cancellation is less than 24 hours.
The standard meeting time for psychotherapy is 50 minutes. It is up to you, however, to determine the length of time of your sessions. Requests to change the 50-minute session needs to be discussed with your therapist in order for time to be scheduled in advance.
Cancellations and re-scheduled sessions will be subject to a full charge if NOT RECEIVED AT LEAST 24 HOURS IN ADVANCE. This also applies to sessions where you do not show up without notification, often referred to as a No Show. This is necessary because a time commitment is made to you and is held exclusively for you. If you are late for a session, you may lose some of that session time.
Regular attendance is essential for your growth in therapy. Please refer to our cancellation policy below:
You will not be billed if you cancel the day of therapy due to illness or family emergencies. Please call your therapist or The Center at least two (2) hours prior to the session to cancel if you are unable to attend due to illness or family emergency.
If you do not show for a scheduled appointment, you will be charged a cancellation fee equal to the session fee.
Please make sure you give us as much notice of cancellation as possible, preferably within 24 hours. Please remember that if you do not show for a scheduled session or if you give less than a two (2) hour notice, you will be charged the cancellation fee for that session.
Sessions will end at the scheduled time even if they are started late. If you are late for your session, the rate charge will not be adjusted and you will be billed per your session rate.
If you are going to be late for the session please call your therapist to let them know. If you are late without a phone call for three (3) sessions, service may be terminated. Clients who are 15 or more minutes late for three (3) or more sessions a month will be subject to a possible termination of services. Please see the section on Termination for more details.
Multiple Cancellations Policy: Therapy sessions canceled five (5) or more times, regardless of the reason, during a three-month period are subject to a charge of the regular therapy rate.
Waiving of Fees: Your therapist or The Center for Mental and Sexual Health may provide you a courtesy of waiving accrued fees. This does not constitute as policy and is at the discretion of your therapist and The Center for Mental and Sexual Health.
If you need to contact your therapist between sessions, please leave a message on their voice mail. Therapists often not immediately available; however, they will attempt to return your call within 24 hours. Please note that Online Video Sessions are highly preferable to phone sessions. However, in the event that you are out of town, sick or need additional support, phone sessions are available. If a true emergency situation arises, please call 911 or any local emergency room.
SOCIAL MEDIA AND TELECOMMUNICATION
Due to the importance of your confidentiality and the importance of minimizing dual relationships, your therapist will not accept friend or contact requests from current or former clients on any social networking site (Facebook, LinkedIn, etc). The Center for Mental and Sexual Health believe that adding clients as friends or contacts on these sites can compromise your confidentiality and your therapist’s respective privacy. It may also blur the boundaries of the therapeutic relationship. If you have questions about this, please bring them up when you meet with your therapist to talk more about it.
The Center for Mental and Sexual Health cannot ensure the confidentiality of any form of communication through electronic media, including text messages. If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, your therapist will do so. While your therapist may try to return messages in a timely manner, The Center for Mental and Sexual Health cannot guarantee immediate response and requests that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies.
Services by electronic means, including but not limited to telephone communication, the Internet, facsimile machines, and e-mail is considered telemedicine by the State of California. Under the California Telemedicine Act of 1996, telemedicine is broadly defined as the use of information technology to deliver medical services and information from one location to another. If you and your therapist chose to use information technology for some or all of your treatment, you need to understand that:
(1) You retain the option to withhold or withdraw consent at any time without affecting the right to future care or treatment or risking the loss or withdrawal of any program benefits to which you would otherwise be entitled.
(2) All existing confidentiality protections are equally applicable.
(3) Your access to all medical information transmitted during a telemedicine consultation is guaranteed, and copies of this information are available for a reasonable fee.
(4) Dissemination of any of your identifiable images or information from the telemedicine interaction to researchers or other entities shall not occur without your consent.
(5) There are potential risks, consequences, and benefits of telemedicine. Potential benefits include, but are not limited to improved communication capabilities, providing convenient access to up-to-date information, consultations, support, reduced costs, improved quality, change in the conditions of practice, improved access to therapy, better continuity of care, and reduction of lost work time and travel
costs. Effective therapy is often facilitated when the therapist gathers within a session or a series of sessions, a multitude of observations, information, and experiences about the client. Therapists may make clinical assessments, diagnosis, and interventions based not only on direct verbal or auditory communications, written reports, and third person consultations, but also from direct visual and olfactory observations, information, and experiences. When using information technology in therapy services, potential risks include, but are not limited to the therapist’s inability to make visual and olfactory observations of clinically or therapeutically potentially relevant issues such as: your physical condition including deformities, apparent height and weight, body type, attractiveness relative to social and cultural norms or standards, gait and motor coordination, posture, work speed, any noteworthy mannerism or gestures, physical or medical conditions including bruises or injuries, basic grooming and hygiene including appropriateness of dress, eye contact (including any changes in the previously listed issues), sex, chronological and apparent age, ethnicity, facial and body language, and congruence of language and facial or bodily expression. Potential consequences thus include the therapist not being aware of what he
or she would consider important information, that you may not recognize as significant to present verbally the therapist.
If you are a minor, your parents may be legally entitled to some information about your therapy. Your therapist will discuss with you and your parents what information is appropriate for them to receive and which issues are more appropriately kept confidential.
Ending relationships can be difficult. Therefore, it is important to have a termination process in order to achieve some closure. The appropriate length of the termination depends on the length and intensity of the treatment. Your therapist may terminate treatment after appropriate discussion with you and a termination process if your therapist determines that the psychotherapy is not being effectively used or if you are in default on payment. Your therapist will not terminate the therapeutic relationship without first discussing and exploring the reasons and purpose of terminating. If therapy is terminated for any reason or you request another therapist, The Center for Mental and Sexual Health will provide you with a list of qualified psychotherapists to treat you. You may also choose someone on your own or from another referral source.
Should you fail to schedule an appointment for three consecutive weeks, unless other arrangements have been made in advance, for legal and ethical reasons, your therapist and The Center for Mental and Sexual Health must consider the professional relationship discontinued.