It is my office policy to charge the client and/or responsible party for appointments that are not canceled or changed in a timely manner or when the client fails to attend the session for any reason. This is a standard practice for psychologists and other professional therapists due to the demands on limited appointment times in order to assist clients. I would like you to understand and agree with this policy as we begin therapy. Please ask me for any clarification if you have any questions or concerns.
Please note:
•Appointments must be cancelled at least 24 hours in advance to avoid incurring a charge.
•The fee for late cancellations or failed appointments is equal to the charge for a full session.*
* Insurance will not pay for late cancellations or failed appointments. In the event of a late cancellation or failed appointment you are responsible for the entire fee for that service and not just your co-payment. The fee for a late cancellation or failed appointment when you have insurance therefore includes the portion typically paid by your insurance for a treatment session and your co-payment. You will be charged my contracted rate with your insurance carrier for the type of service scheduled.
Charges for late cancelations or failed appointments are due immediately.
Policy date 9/02/08 Last update 08/01/2018
Matthew Gerst, Ph.D.
Licensed Clinical Psychologist PSY13460
509 Seventh Street., Second Floor
Santa Rosa, CA 95401
(707) 978-2944
Copyright © 2018 Matthew Gerst, Ph.D. - All Rights Reserved.
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