Practice Policies:
Fees & Payment
Individual Therapy (Telehealth)
55 minutes: $180
30 minutes: $125
90 minutes: $300
Initial Intake (60 minutes): $230
Parent Coaching & Family Therapy
$125–$200 (30–60 minutes)
Clinical Letters & Documentation
$50–$300 per letter or billed at the hourly rate based on time required.
Payment is due at the time of service unless otherwise arranged. A credit or debit card on file is required.
Returned checks will incur a $35 fee.
Clients are responsible for all fees not covered by insurance (if applicable), including late cancellation and missed session fees.
Good Faith Estimate
If you are paying out of pocket, you have the right to receive a Good Faith Estimate outlining the expected cost of your care. This estimate is based on current information and may be updated if your needs or session frequency change.
Appointments & Cancellations
Please provide at least 24 hours’ notice (not including weekends or holidays) for cancellations or rescheduling. Late cancellations (less than 24 hours’ notice) and missed sessions will be charged the full session fee.
Sessions are typically 50-55 minutes. If you arrive late, your session will still end at the scheduled time.
If you do not attend a session without notice, it will be considered a no-show and charged in full.
If there is no communication for three consecutive scheduled sessions, services may be discontinued.
Communication
For privacy and boundary reasons, communication between sessions is limited.
Email and the secure client portal (SimplePractice) are the primary methods for scheduling and administrative communication
Text messaging is not used
Messages are typically returned within 24–48 business hours
Communication outside of sessions is not a substitute for therapy
If you are experiencing an emergency, please call 911 or go to the nearest emergency room.
Social Media
To protect your confidentiality and maintain professional boundaries, I do not accept friend or contact requests from current or former clients on social media or engage in communication through these platforms.
Confidentiality
Your privacy is important. All sessions are confidential in accordance with HIPAA and Massachusetts law.
There are a few legal exceptions, including situations involving:
Risk of harm to yourself or others
Suspected abuse or neglect
Court orders or legal requirements
When appropriate, I may consult with other professionals for clinical support without sharing identifying information.
Minors
When working with clients under 18, parents/guardians may have legal access to treatment information. At the same time, maintaining some level of privacy helps support effective therapy.
In general, parents/guardians receive occasional updates about progress and overall themes, while specific session details remain private unless there are safety concerns.
Emergency & Crisis Support
This practice does not provide emergency or crisis services.
If you are in immediate danger or need urgent support, call 911 or go to the nearest emergency room.
You can also contact:
988 Suicide & Crisis Lifeline (call or text 988)
Massachusetts Substance Use Helpline: 1-800-327-5050
Massachusetts Mobile Crisis Intervention: 877-382-1609
Ending Services
You may choose to end therapy at any time. When possible, we will plan for a thoughtful and supportive transition.
If sessions are missed consistently or there is no communication for three consecutive scheduled appointments, services may be discontinued.
Referrals can be provided if needed.
Important Note
These policies are provided for informational purposes and are part of the informed consent process. Clients will review and sign a full consent and financial agreement prior to beginning services.