Policies
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Cancellations/No Show Policy
Life happens! Please communicate any cancellations 24 hours prior to your scheduled appointment. A fee of $100 will be charged for any late cancellations or no shows. Continued cancellations or no shows may result in the loss of your regular spot or therapy services.
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Good Faith Estimate/No Surprises Act
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
- You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurpriseswww.cms.gov/nosurprises.
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Scope of Practice Disclaimer
If you believe a child is experiencing abuse please call the 24/7 abuse hotline at 1-855-503-7233
Scope of Practice & No Legal/Custody Advice
I provide therapeutic mental health services exclusively for the purpose of assessment, diagnosis, and treatment. I am not an attorney, a legal professional, or a court-appointed custody evaluator. The services provided by this practice do not include legal advice, custody recommendations, or parenting time determinations.
Clinical Boundaries
Therapy requires a safe, trusting environment focused entirely on the child’s well-being.
No Custody Recommendations: In accordance with professional ethics and Oregon rules, clinical therapists will not make recommendations to parents, attorneys, or the court regarding which parent should have legal custody or how parenting time should be divided.
Role Distinction: Legal custody recommendations require a neutral, specialized expert. If you require a custody evaluation, you must seek a court-appointed or mutually agreed-upon Custody Evaluator or professional conducting an official custody study.
I do not have the necessary training to provide court ordered reunification therapy services at this time
Court Appearances and Subpoenas
While my primary goal is to remain out of legal disputes to protect the therapeutic alliance with your child, I am bound by Oregon law regarding court orders and subpoenas:
Counselor-Client Privilege: Under ORS 40.262 (Rule 507), confidential communications made during therapy are generally privileged and protected from disclosure in court proceedings unless explicit legal exceptions or consents apply.
Impact of Testimony: Forcing a child's therapist to testify in court can be highly complicated, governed by strict rules, and can inadvertently damage the child's trust and therapeutic progress.
Subpoena Fees: In the event this provider is legally subpoenaed to testify or produce records by a court of law, the requesting party will be billed a non-refundable retainer and standard court-related service fees which are not covered by insurance. Fee information is provided to the client prior to starting services.
Consent for Treatment in Co-Parenting Situations
Documentation may be requested to confirm court orders, legal parenting plans or parental rights
Contact information for all legal guardians and parents (including non-custodial parents) must be provided
Non-Custodial Parent Rights: Under ORS 107.154, a non-custodial parent retains the legal right to consult with the child’s treatment providers and receive copies of health and treatment records, unless explicitly restricted by a specific court order provided to this practice.