Policies & Client Rights

This page outlines important information about services, client rights, and practice policies. More detailed information, including informed consent and financial agreements, will be provided through the secure client portal prior to the start of services.

Clients have the Following Rights:

  • Be treated with dignity, respect, and consideration.

  • Receive information about the nature and purpose of therapy.

  • Participate in decisions about their care.

  • Ask questions and receive clear information about fees and policies.

  • Refuse or discontinue services at any time.

  • Request referrals to other providers if desired.

  • Receive services in a manner that is culturally responsive and accessible.

Confidentiality

Your privacy is an important part of the therapeutic process. Additional details about privacy practices are available in the Notice of Privacy Practices link at the bottom of the website. Information is kept confidential with the following legal and ethical exceptions:

  • Risk of serious harm to yourself or others.

  • Suspected abuse or neglect of a child, elder, or vulnerable adult.

  • Court orders or other legal requirements.

Telehealth Services

Services are provided through a secure telehealth, HIPAA-compliant platform to clients located in Arizona at the time of each session. Telehealth may include certain risks, such as technical disruptions and limits to privacy. By engaging in telehealth services, you acknowledge and accept these considerations.

Fees & Payment Summary

This is a private pay practice and does not bill insurance directly. A superbill can be provided upon request for possible out-of-network reimbursement. Payment is due at the time of service. Additional financial policies are provided prior to the start of services.

  • 50-minute session: $185

  • 80-minute session: $277

Cancellation Policy Summary

Appointments canceled with less than 24-hour’s notice may be subject to the full session fee. More information can be found in the 24-hour cancellation informed consent document you will receive as part of your first session paperwork.

Good Faith Estimate (GFE) Notice

You have the right to receive a Good Faith Estimate of the expected cost of services under the No Surprises Act. A personalized estimate will be provided in writing after scheduling or upon request.

This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created, and does not include any unknown or unexpected costs that may arise during treatment.

If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill.

Throughout your treatment, the provider may recommend additional items or services as part of your treatment that are not reflected in this estimate. These would need to be scheduled separately with your consent and the understanding that any additional service costs are in addition to the Good Faith Estimate. If your needs change during treatment, your provider should supply a new, updated Good Faith Estimate to reflect the changes to treatment, and the accompanying cost changes. You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. The Good Faith Estimate is not a contract between provider and client and does not obligate or require the client to obtain any of the listed services from the provider. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS).

If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.

To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call HHS at (800) 985-3059. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call (800) 985-3059. Keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.

Accessibility Statement

This practice is committed to providing accessible and inclusive care. As a virtual practice, telehealth services are offered to increase accessibility for clients with mobility, chronic illness, or other needs. If you require accommodations to participate in services (e.g., extended sessions, video captioning support, or sensory-related considerations), please contact me to discuss how we can support your access. If you experience difficulties accessing any part of this website, please reach out so accommodations can be made.

Scope of Practice

This practice specializes in treating individual adults over the age of 18 years of age who are struggling with chronic pain, trauma/stress, and co-occurring difficulties, such as depression, anxiety, and OCD, using experiential therapies.

The following concerns may be outside the scope of services at Pain to Presence Psychotherapy; they may require a referral to a higher level of care or a specialized provider:

  • Active suicidal or homicidal intent requiring crisis stabilization.

  • Substance use issues requiring medical detox or a higher level of care.

  • Court-ordered evaluations or forensic services.

  • Family therapy or therapy for individuals under the age of 18.

  • Conditions that require inpatient treatment or a greater frequency of care that is beyond the recommended contact hours per week for an outpatient psychotherapist.

If it is determined that your needs fall outside the scope of this practice, appropriate referrals will be provided whenever possible. This may occur before the first intake session for prospective clients, during the assessment process, or at any time during the course of therapy if ethically or clinically appropriate.

Crisis Disclaimer

This practice does not provide emergency services. If you are in crisis, call 911 or contact the Suicide and Crisis Hotline by calling 988.