Please take the time to review my office policies and fee schedule before arriving at your first appointment.

Juggling Multiple Realities


I am an ‘out of network’ provider.  In order for me to focus on my professional relationship with you, I have elected to ask you to take care of relating to the insurance company. This means that I have not contracted with any insurance companies. In most cases your insurer will reimburse a portion of my fee by simply submitting the Health Insurance Claim Form that I will give you. You will be responsible for your full fee at the time of service and will be reimbursed directly by your insurance company following submitting your claim form.

Please call your insurance company to verify your benefits before your initial visit. There are often deductibles, number of visit limits, and other restrictions. You will need to call the number on the back of your insurance card to find out your mental health benefits/coverage. Most insurance companies have some out of network coverage. Check on what your out of network benefits are.

When you call, ask the following questions:

  1. What are my out of network benefits for mental health?
  2. Do I have a separate out of network deductible?
  3. What percentage or fee do I pay?  Is this based on a “usual and customary fee” or her actual rates?
  4. How many visits do I get in a certain time frame?

Insurance no longer covers charges for services rendered by phone or e-mail, prior authorization calls or forms, letters, reports, cancellations or missed appointments. These will be billed to you directly. Payment is expected at the time of service.  Appointments cancelled with less than 48 hour notice are billed for the full fee for the scheduled appointment.