Fees/Forms

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Fees and Insurance

Assessments: Testing is priced on a "flat fee" basis depending on referral question  (see Assessment Agreements and Price List below). A minimum of 50%  percent of the estimated cost is due at the time of testing. The  remaining 50% is due upon receipt of the completed report.

Counseling/Therapy: $150.00 per 60-minute session (see Counseling Agreements below). Payment is due at the time of service unless other arrangements have been made in advance.

Insurance: I am a “fee for service” provider, which means that you are responsible for  payment and I will not bill your insurance company directly. I will provide you with an invoice ("Super Bill") that includes the  necessary CPT codes, diagnostic codes, and NPI number that you can  submit to your insurance company for reimbursement at the out-of-network rate. It is strongly recommended that you  contact your insurance company in advance of your appointment to  determine whether they will cover services, and if so, under what  conditions. Please note that some insurance companies require  pre-authorization in order to provide any reimbursement for services  rendered. 

Cancellation Policy: Your appointment is a time set aside for you. If you are unable to  attend, you are expected to cancel as soon as possible and at least 24  hours in advance. Your consideration is greatly appreciated.

Forms

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