Therapy. An Investment.
Therapy is an investment in you. When evaluating the costs for therapy, please keep in mind the importance of your health and wellness. We will do our best to help you to sort out costs.
Our providers are contracted with several major insurance companies.
Our providers are able to see clients who use the insurance we are paneled with and we also welcome clients who prefer to pay out of pocket for care. Payment for services can be made by cash, check, Visa, Mastercard, or HSA/FSA cards.
Insurance
Our Front Office Team is here to help. They can submit in-network and out-of network claims to most insurance companies. They will help you know if we are credentialed with your insurance company along with the claim processing system.
But...we also recommend contacting your insurance company directly to verify your coverage for mental health services and to ask about your costs . Fees are due at the time of service.
Late cancellation and no-show policy
If you’re unable to attend a scheduled session, be sure to notify our office at484-509-0499at least 24 hours in advance. If you have an appointment scheduled on Monday, we require notice by 5pm the Friday before. Otherwise, you will be charged a late cancellation fee. Insurance does not cover no-show or late cancellation fees, so these fees will be your responsibility.
Canceling at least 24 hours in advance gives your therapist an opportunity to offer your time slot to another client who may be waiting to be seen.
In-Network Insurance
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cos
Under the No Surprises legislation which took effect in 2022, health care providers need to give individuals who are not enrolled in a participating group or individual health plan, or an uninsured (self-pay) individual, an estimate of their bill for health care items and services before those items or services are provided.
You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider gives you a Good Faith Estimate in writing within 3 business days after you ask.If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.
HIPAA Notice of Privacy Practices
Your Information * Your Rights * Our Responsibilities
This notice describes how medical information about you may be used and
disclosed and how you can get access to this information. Please review it
carefully.
"Protected Health Information" (PHI) is information about you, including
demographic information, that may identify you or be used to identify you, and
that relates to your past, present or future physical or mental health or
condition, the provision of health care services, or the past, present or future
payment for the provision of health care.
Your Rights
You have the right to:
● Get a copy of your paper or electronic medical record
● Correct your paper or electronic medical record
● Request confidential communication
● Ask us to limit the information we share
● Get a list of those with whom we’ve shared your information
● Get a copy of this privacy notice
● Choose someone to act for you
● File a complaint if you believe your privacy rights have been violated
Your Choices
You have some choices in the way that we use and share information as we:
● Tell family and friends about your condition
● Provide disaster relief
● Provide mental health care
● Market our services
● Raise funds● Address worker's compensation, law enforcement, and other government
requests
● Respond to lawsuits and legal actions
Our Uses and Disclosures
We may use and share your information as we:
● Treat you
● Run our organization
● Bill for your services
● Help with public health and safety issues
● Do research
● Comply with laws that may be in place now or in the future
Your Rights
When it comes to your health information, you have certain rights. This section
explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your medical record
● You can ask to see or get an electronic or paper copy of your medical record
and other health information we have about you. Ask us how to do this.
● We will provide a copy or a summary of your health information, usually
within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your medical record
● You can ask us to correct health information about you that you think is
incorrect or incomplete. Ask us how to do this.
● We may say “no” to your request, but we’ll tell you why in writing within 60
days.
Request confidential communication
● You can ask us to contact you in a specific way (for example, home or office
phone) or to send mail to a different address.
● We will say “yes” to all reasonable requests.
Ask us to limit what we use or share
● You can ask us not to use or share certain health information for treatment,
payment, or our operations. We are not required to agree to your request, and
we may say “no” if it would affect your care.
● If you pay for a service or health care item out-of-pocket in full, you can ask
us not to share that information for the purpose of payment or our operations
with your health insurer. We will say “yes” unless a law requires us to share that
information.
Get a list of those with whom we've shared information
● You can ask for a list (accounting) of the times we’ve shared your health
information for six years prior to the date you ask, who we shared it with, and
why.
● We will include all disclosures except for those about treatment, payment, and
health care operations, and certain other disclosures (such as any you asked us
to make). We’ll provide one accounting a year for free but will charge a
reasonable, cost-based fee if you ask for another one within 12 months.
Get a copy of this privacy notice
You can ask for a paper copy of this notice at any time, even if you have agreed
to receive the notice electronically. We will provide you with a paper copy
promptly.
Choose someone to act for you
● If you have given someone medical power of attorney or if someone is your
legal guardian, that person can exercise your rights and make choices about
your health information.
● We will make sure the person has this authority and can act for you before we
take any action.
File a complaint if you feel your rights are violated
● You can complain if you feel we have violated your rights by contacting us
using the information at the top of this page OR contacting our privacy officer:
Heidi Ramsbottom at 484-509-0499
● You can file a complaint with the U.S. Department of Health and Human
Services Office for Civil Rights by sending a letter to 200 Independence Avenue,
S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting
www.hhs.gov/ocr/privacy/hipaa/complaints/.
● We will not retaliate against you for filing a complaint.
Your Choices
For certain health information, you can tell us your choices about what we
share. If you have a clear preference for how we share your information in the
situations described below, talk to us. Tell us what you want us to do, and we
will follow your instructions.
In these cases, you have both the right and choice to tell us to:
● Share information with your family, close friends, or others involved in your
care.
● Share information in a disaster relief situation
In these cases we never share your information unless you give us written
permission:
● Marketing purposes
● Most sharing of psychotherapy notes
In the case of fundraising:
● We may contact you for fundraising efforts, but you can tell us not to contact
you again.
Other Uses or Disclosures
How do we typically use or share your health information?
We typically use or share your health information in the following ways.
Treat you
We can use your health information and share it with other professionals who
are treating you. Example: Your physician and I may need to coordinate your
care.
Run our organization
We can use and share your health information to run our practice, improve your
care, and contact you when necessary.
Example: We use health information about you to manage your treatment and
services.
Bill for services
We can use and share your health information to bill and get payment from
health plans or other entities.
Example: We give information about you to your health insurance plan so it will
pay for your services.
How else can we use or share your health information?
We are allowed or required to share your information in other ways – usually in
ways that contribute to the public good, such as public health and research. We
have to meet many conditions in the law before we can share your information
for these purposes. For more information see:
www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
Help with public health and safety issues
We can share health information about you for certain situations such as:
● Reporting adverse reactions to medications
● Reporting suspected abuse, neglect, or domestic violence
● Preventing or reducing a serious threat to anyone’s health or safety
Do research
● We can use or share your information for health research.
Comply with the law
● We will share information about you if state or federal laws require it,
including with the Department of Health and Human Services if it wants to see
that we’re complying with federal privacy law.
Address workers' compensation, law enforcement, and other
government requests
We can use or share health information about you:
● For workers’ compensation claims
● For law enforcement purposes or with a law enforcement official
● With health oversight agencies for activities authorized by law
● For special government functions such as military, national security, and
presidential protective services
Respond to lawsuits and legal actions
We can share health information about you in response to a court or
administrative order, or in response to a subpoena.
Our Responsibilities
● We are required by law to maintain the privacy and security of your protected
health information.
● We will let you know promptly if a breach occurs that may have compromised
the privacy or security of your information.
● We must follow the duties and privacy practices described in this notice and
give you a copy of it.
● We will not use or share your information other than as described here unless
you tell us we can in writing. If you tell us we can, you may change your mind
at any time. Let us know in writing if you change your mind.
Additional Protections for Substance Use Disorder (SUD) Treatment
Records (effective 02/15/2026)
● Records related to any substance use disorder treatment are protected by
federal law (42 CFR Part 2).
● We cannot disclose information that identifies you as receiving SUD services
without your specific written consent, unless permitted by law.
● Exceptions include:
●Medical emergencies
●Reporting suspected child abuse or neglect
●Court order that meets strict legal requirements
●Communications within the program or with a qualified service
organization under written agreement
For more information, see:
www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.