TERMS OF SERVICE
Thank you for choosing Freedom360 for your counseling & coaching needs. I am committed to giving you the best care possible. To acquaint you further with my professional services and business policies, I am providing the following information:
Free Initial counseling consultations, are 30 minutes in length. The purpose is to determine if individual, couple or family counseling, with our organization, is a good fit for your needs, enrollment and to discuss next steps.
Counseling sessions are standard 45-55 minutes in length for single sessions and double sessions are 100 minutes in length. The number and frequency of sessions needed depends on many factors and will be discussed after our initial meeting. Counseling appointments are made in one of the following ways:
Submit an appointment request online. Appointment will be confirmed / denied within 24 hours of request. You will receive contact via email if request is denied to coordinate next steps.
At the end of a therapy session, we can secure your next appointment.
By phone at (775) 773-6588. Due to my schedule I am not always available to answer immediately, please either leave a voice mail with a description of your request or send a text message for appropriate response and I will respond as soon as possible.
Cancellations and re-scheduled session will be subject to a full charge if NOT RECEIVED AT LEAST 24 HOURS IN ADVANCE. This is necessary because a time commitment is made to you and is held exclusively for you. If you are late for a session, you may lose some of that session time.
Free Coaching Breakthrough Sessions, are 30-45 minutes in length. The purpose is to determine if the online group coaching platform, with our organization, is a good fit for your needs, enrollment and discuss next steps.
Coaching services are a membership only enrollment services for 8 week, online, group format.
II. CANCELLATION /RESCHEDULING POLICY
For counseling services, you will be charged the full session fee for cancellations/rescheduling requests made less than 24 hours in advance of a scheduled appointment.
For coaching services, there is a no refund policy.
III. CONTACTING ME
Due to my work schedule, I am not immediately available by telephone or email. When I am unavailable, my telephone is answered by voicemail. I will make an effort to return your call/email in a timely manner, that same day or the next.
In the case of an emergency however, contact your family physician or the nearest emergency room and ask for the psychiatrist on call.
IV. ELECTRONIC COMMUNICATIONS
I can receive brief email/text message communications related to appointments, homework submission, and specific brief informational exchanges. However, I do not perform therapeutic services via email/text nor do I respond to therapy related topics outside of our therapy appointment times.
If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, I will do so. While I may try to return messages in a timely manner, I cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies.
My business email account is not checked outside of my normal business hours or on weekends with only minor exceptions and should not be utilized or relied upon to communicate any therapy related issues for that reason.
Please note email and text message are not considered secure forms of communication.
V. ONLINE SESSIONS
Online sessions are treated the same as regular therapy sessions in terms of time duration and billing. The use of SimplePractice and ZOOM video technologies are both HIPAA compliant and confidential. The use of any other platform, such as FaceTime or Skype, are not guaranteed to be secure connections. My standard hourly rate will be applied and it will be your financial responsibility.
Services by electronic means, including but not limited to telephone communication, the Internet, facsimile machines, and e-mail is considered telemedicine, broadly defined as the use of information technology to deliver medical services and information from one location to another.
In choosing to use information technology for some or all of your treatment, you need to understand that:
You retain the option to withhold or withdraw consent at any time without affecting the right to future care or treatment or risking the loss or withdrawal of any program benefits to which you would otherwise be entitled.
All existing confidentiality protections are equally applicable.
Your access to all medical information transmitted during a telemedicine consultation is guaranteed, and copies of this information are available for a reasonable fee.
Dissemination of any of your identifiable images or information from the telemedicine interaction to researchers or other entities shall not occur without your consent.
There are potential risks, consequences, and benefits of telemedicine. Potential benefits include, but are not limited to improved communication capabilities, providing convenient access to up-to-date information, consultations, support, improved quality, change in the conditions of practice, improved access to therapy, better continuity of care, and reduction of lost work time and travel costs.
Effective therapy is often facilitated when the therapist gathers within a session or a series of sessions, a multitude of observations, information, and experiences about the client. Therapists may make clinical assessments, diagnosis, and interventions based not only on direct verbal or auditory communications, written reports, and third person consultations, but also from direct visual and olfactory observations, information, and experiences. At Freedom360 we only utilize video conferencing for therapeutic services. Please note that online face-to-face sessions are highly preferable to phone sessions. However, in the event that you are out of town, sick or need additional support, phone sessions are available.
VI. SOCIAL MEDIA AND TELECOMMUNICATION
Due to the importance of your confidentiality and the importance of minimizing dual relationships, I do not accept friend or contact requests from current or former clients on any social networking site (Facebook, LinkedIn, Instagram, etc). I believe that adding clients as friends or contacts on these sites can compromise your confidentiality and our respective privacy. It may also blur the boundaries of our therapeutic relationship. If you have questions about this, please bring them up when we meet and we can talk more about it.
However, if you so choose you may join the community Facebook Group - Journey to Freedom, follow the Freedom 360 Facebook Business page, follow the Freedom360 Instagram account or join the online forum to comment on blogs in which I can not assure you anonymity.
VII. FINANCIAL RESPONSIBILITY
You are fully responsible for all services rendered. Full payment is expected at time of service, unless other arrangements are made in advance. You will automatically receive an invoice for your service at the end of the day containing your appointment.
If you have selected auto-pay, you will be automatically charged your session fee. You may request a receipt by emailing or by accessing your secure client portal.
Payment options include credit card & PayPal.
There will be a $25.00 fee for payments returned as insufficient funds. If an account becomes significantly past due you will be notified by mail or email at the address listed on your contact information.
We are considered an out-of-network insurance provider. Upon request, we will provide you a receipt of services, so you may file an out-of-network claim with your provider. Receipts include a general diagnosis code for processing, however, I will make every effort to release only the minimum information about you that is necessary for the purpose requested. Many Insurance carriers will reimburse you a percentage of your session cost.
Most insurance providers will allow your to, utilize a HSA (Health Savings Account), FSA (Flexible Spending Account) or HRA (Health Reimbursement Arrangement) card to pay for counseling services. If needed, we will provide a receipt of services to request reimbursement.
Coaching services usually do not qualify as reimbursable services per many Insurance providers, please contact your insurance provider for further detail or information.
The Health Insurance Portability and Accountability Act (HIPPAA), is a federal law that provides privacy protections and patient rights with regard to the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment and health care operations.
The law protects the privacy of communications between a patient and counselor. Everything about your care will be held in the strictest confidence. In most situations, I can only release information about your treatment to others with your written consent. Possible exceptions to confidentiality include, but are not limited to the following situations:
Suspected or reported child abuse or abuse to elderly or disabled persons; imminent/serious threat of injury by you to yourself or others; court ordered legal proceedings.
Couple's/family counseling maintains confidentiality of both individuals in couples sessions. In the case of individual counseling, individual confidentiality is upheld unless written consent is on file.
If you have any questions or concerns about confidentiality, it is important that you bring them to my attention in order that we may discuss them further.
If you are a current or previous member of the Freedom360 Online Coaching Program(s),
If you follow/join and participate in social media accounts, Facebook business page, Facebook Journey to Freedom Group, Instagram business page you are hereby agreeing to waive confidentiality on that platform as we are not able to maintain you anonymity on third-party sites.
In addition, it is important for you to know that our relationship will be a professional and therapeutic relationship. In order to preserve this relationship, it is imperative that I not have any other relationship with you. Personal and/or business relationships can undermine the effectiveness of the therapeutic relationship and are not permissible by the Texas State Board of Licensed Professional Counselors.
X. COURT APPEARANCES, TESTIMONY OR DEPOSITIONS; RESPONSES TO DEPOSITIONS OR REPORTS FOR EMPLOYERS OR THE COURT:
I do not provide professional expert witness services in my practice. In the event that I am required to provide records, testimony, or depositions you will be charged for all preparation, travel, and court time at my standard bill rates in force at that time.
In the event any type of special report or assessment is required, by the court system or an employer, I will generally refer you to other professionals, and will charge you for any assessment consultation required of me by that professional.
If you are a minor, your parents may be legally entitled to some information about your therapy. I will discuss with you and your parents what information is appropriate for them to receive and which issues are more appropriately kept confidential.
Ending relationships can be difficult. Therefore, it is important to have a termination process in order to achieve some closure. The appropriate length of the termination depends on the length and intensity of the treatment. I may terminate treatment after appropriate discussion with you and a termination process if I determine that the psychotherapy is not being effectively used or if you are in default on payment.
I will not terminate the therapeutic relationship without first discussing and exploring the reasons and purpose of terminating. If therapy is terminated for any reason or you request another therapist, I will provide you with a list of qualified psychotherapists to treat you. You may also choose someone on your own or from another referral source.
XIII. CONTACTING US:
If there are any questions regarding these Terms of Service, you may contact us using the information below.
Last Edited on November 23, 2018