Policy
Welcome to Let Hope Arise!
I appreciate you choosing Let Hope Arise (LHA) and I look forward to helping you with the challenges you are facing. I understand that you may be coming here due to difficulties with your emotions, behavior and your relationships. I strive to provide a safe and calm environment to explore these issues. You may experience more unpleasant feelings such as sadness and fear. But the hope is that in working through your issues, you will not only understand yourself better, but you will experience healing. This process will require collaboration between you and your therapist. It will also require hard work on your part outside of your sessions. There are no guarantees, but our hope is that with treatment you will feel better and have improved connections with others.
I want you to share freely, but it’s important to understand LHA policy on confidentiality. All that you say will be private. This means I will not disclose any information unless you sign a written consent or am required to disclose information by law or court order. By, law I am required to report suspect abuse of a child or incapacitated adult. Am also required to take action if you become a danger to yourself or to others. I will make every effort to help you and others to stay safe within the limits of our legal responsibility.
When you start therapy, both you and I will take the first few sessions to determine if there is a good working relationship. If either of us feel that the treatment will not be effective, I may refer you to another therapist. In the beginning we will establish your treatment goals. Treatment may end when goals are not being met, treatment is not progressing, or sessions are missed frequently. My hope is that you we will agree when you are ready to end treatment.
1. PAYMENT: Payment is expected at the time of service, including co-pays, coinsurance and deductible amounts. For your convenience, we can keep your current credit card number on file and charge payments to that card at each visit. All returned checks are subject to a $40.00 fee as well as any fees the bank applies. Balances unpaid for 60 days or more will be subject to a monthly $10.00 finance charge until paid in full. Balances unpaid for 90 days or more may be sent to a collection agency and all collection fees will be added to your account.
2. EMERGENCIES: If you are experiencing a life-threatening emergency, please call 911. If you would like to talk to someone before the scheduled appointment you will be charged $50 for 15minutes.
3. CANCELLATIONS AND MISSED APPOINTMENTS: You must give 24 hours notice
before canceling an appointment. You will be charged $75 for appointments that are
cancelled for ANY reason with less than 24 hours notice. You will be charged $75 for
appointments you miss for ANY reason without calling to cancel.
4. FEES: Fees will be charged for the preparation of reports, and letters and for
the copying of records. Requests for these services need to made in writing.
5. LEGAL: I do not participate in legal proceedings. However, in the unlikely event I am
required to engage in legal matters, there will be a fee charged for our professional services.
6. JOINT CUSTODY: In the case of joint custody due to parents’ separation or divorce, both
parents have the right to participate in their child’s treatment. In these cases, I ask for
consent forms from both parents. I also ask that both parents agree to not involve the
therapist in court proceedings. This is in order to ensure a therapeutic relationship with the child.