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Fees & Payment Information

The current fee schedule is as follows (subject to change):

Information regarding insurance benefits and use is available by clicking here.

A normal course of therapy will be one initial evaluation appointment followed, if accepted as a patient, by individual 45 minute appointments as scheduled.  Frequency of appointments will depend on your need, the recommendation of the therapist, and other considerations as applicable.  Generally we will meet more frequently at the beginning of therapy with increasingly longer spans of time as you apply CBT principles as homework between sessions.

I see adults 18 and up.  I have closed my practice to adolescents and couples. I also do not see children.  If I do not offer the services needed I can generally refer cases out to other therapists/psychiatrists as appropriate.  I recommend you can discuss the specifics of your case with me prior to an evaluation if you have questions and/or special needs.

Fees are due at the time services are rendered and can be made with credit cards (MasterCard, Visa, and American Express), debit cards, cash, or check.  Documentation for your insurance out-of-network benefits can be picked up after your session once payment has been made.

Records are available for continuity of care to other health professionals free of charge.  Please submit any request for records in writing and allow two weeks (14 days) for processing.  Any other copies of records will be assessed a $25.00 fee and will need a written request as well.

Disability and other insurance paperwork may be subject to an administrative charge.  Please alert the therapist to any additional paperwork needs as soon as possible.  Payment for any records or documentation is required before such records will be released to a third party.  In addition, a written Release of Information form should be filled out for each recipient of health information that is not for the patient’s sole use.

General and Financial Policies

Fees: Payments are due at the time services are rendered; payments will be received at the beginning of each session. It is up to the discretion of the therapist to allow for a deferred payment. 

Insurance: I will be glad to provide necessary documentation for filing insurance claims. The therapist may bill excessive insurance paperwork demands separately after consultation with the patient. Generally routine notes or other documentation will not be considered excessive. However, you will be responsible for the full fee at the time of service unless we make other arrangements.

Emergencies: I do not provide formal emergency services, yet I wish to be as available as much as is reasonably possible. You may call the office number at any time and leave a message if I do not answer. During the business day I can often, though not always, return calls fairly quickly. Nighttime and weekend calls will usually be returned the next business day. If you find yourself in an urgent situation, make a judgment about the prudence of waiting for my call versus calling 911 or going to the nearest emergency room for immediate care. If I am away for more than a day, my voice mail message will indicate that and state my expected date of return.

Death or Incapacity:  In the event that the therapist dies or is otherwise incapable of providing for the clinical services of this office the patient consents for the therapist to designate Roger Bolen, LCSW as conservator for the records of this office, including all patient records, and at the time of death or incapacity of the therapist he will take possession of the patient records and make those available to the patient or a mental health professional of the patient’s choosing at such time that a written request is made to this office.

Other fees: If report preparation is requested or required, the time rate charged for our therapy sessions will apply. Extended or frequent telephone contact will also be charged for. These services are not usually reimbursed by insurance. I will not agree to court appearances or other legal involvements unless we have discussed the matter thoroughly and both agree that such involvement is within my range of competence and will not interfere with the treatment relationship. Professional fees for court appearances, depositions and attorney consultations are $300 per hour including travel and waiting time, are non-discountable, and are payable in advance only.

Accounts: Payment may be made with cash, credit card, or by check. I do not extend credit.  In any such arrangement, late payment fees of $10 per month will be charged on any balance not paid within 30 days. I do not depend on an outside collection service unless accounts are overdue by 90 days. I would much rather communicate with patients and find some solution to overdue accounts. Patient hereby consents to the delegation of collection activities to an outside collection agency, including the release of necessary information required by the collection agency.  A delinquency fee of 40% of the outstanding balance will be added if a collection agency is required. There is a returned check processing fee of $25 in addition to reimbursement for charges assessed by my bank.  Statements, receipts, or other documentation will not be issued to any delinquent account until paid in full.  Payment by credit cards will be in accordance with the pre-authorization for health care form provided by this office.

Missed appointments: Unless waived by mutual agreement on a case-by-case basis, no-shows and cancellations will be charged for unless you cancel at least 24 hours in advance of the appointment time. The fee for late cancellations (less than 24 hours notice) is 50%, and for no-shows 100%, of the full fee.  Patients arriving 15 minutes or more late to the appointment will be considered a no-show and must be rescheduled unless other arrangements are made with the therapist.  Authorization is given, where applicable, to charge credit/debit cards for late or no-show appointment fees when incurred.  Patient understands the appointment policies of the office and assumes responsibility for payment of fees related to late cancellations or no-show appointments.  Such charges are payable immediately and will be automatically deducted, where applicable, and are not normally reimbursable by insurance.

Copyright © 2011 Beau A. Nelson, MA, LCSW Counseling and Psychotherapy. All rights reserved.