Practice Policies

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All new clients must fill out Intake documents, HIPPA release, and consent forms. These forms will be emailed to the client immediately after booking an initial appointment.  Please complete forms and submit the forms prior to the upcoming appointment. 

INTAKE POLICY: All Intake forms, consents and insurance benefit verification must be received a minimum of 72 hours prior to initial appointments or appointment will be rescheduled. 

You will receive an email and text reminder, numerous times prior to your scheduled appointment.  Kindly confirm attendance either via text or email. 

In the event that you need to cancel or re-book your appointment, we ask that you provide us with a full 24 hour notice. Last minute cancellations will result in a $50 fee.

Please note that all late arrivals will result in shortened services in order to properly serve all our other clients. Our treatments are booked back to back. If you are more than 15 minutes late, we may not be able to treat you. Some late arrivals may be charged a $50 cancellation fee.

Our practice maintains client confidentiality in-accordance with the Health Insurance Portability and Accountability Act (HIPAA) and the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR). Our trained staff preserves, protects and maintains confidentiality to ensure that our client's feel safe while being cared for at our practice. 

We safeguard our practice with secure HIPAA compliant electronic health care record platforms, Tebra and Aesthetic Record.

All information a client reports during psychotherapy sessions stays in private, this is called a "privileged relationship." Privileged communication is a legal term that refers to information exchanged between two parties that is protected by the law and cannot be forced to be disclosed. 

However, there are times when a there is a legal obligation to break confidentiality, as follows:

• Harm to self or others.  If imminent danger of hurting oneself or someone else, a family member, the police or ambulance will be called to ensure safety.
• If a child under the age of  16 or an older adult is in danger. In these cases, Department of Children and Family Services or the police will be called.
• Files are subpoenaed by the court in regards to legal matters.
• A client experienced a health emergency during a session.  In this case, medical staff would be provided only with necessary information. No information about why a client is in therapy will be shared.

Prior to beginning services, all clients are required to provide consent to HIPPA, privacy policy, authorization to receive care and treatment. All Intake and consent forms are sent via our secure EHR portal systems. 

Our practice requires clients to be seen a minimum of every 90 days for on-going psychotropic medication prescribing. This allows our provider to assess a client's well-being, monitor for side effects, and make any necessary adjustments to the medication regimen. 

Controlled substances:

• Refills of controlled substances are more tightly regulated due to their potential for abuse and dependence. Our practice requires an in-person appointment every 30 days for controlled substance refills, or may have limited refill windows and/or denial of refill. This allows our provider to monitor the client's well-being, side effects effects, and make any necessary adjustments to the medication regimen. All controlled substance medication are reported and controlled substance prescribing histories are conducted through state electronic registries. 
• The above policy applies to all medications prescribed for treating alcohol-use and opioid-use disorders (i.e. Buprenorphine, Naltrexone, Suboxone, and Vivitrol). 

Refills between visits:

• In the event a client has not been seen within 30 or 90 days, as policies stated above, our practice will offer limited refills between scheduled appointments, but only enough to bridge the gap until the next scheduled visit. This helps to ensure that clients are regularly monitored and that any necessary medication changes are made by the provider.  

• Our practice retains the right to refuse services based on outstanding balances, this includes unpaid co-payments, deductibles, and treatments.  Professional services may resume once full payment has been received. 

For safety reasons and insurance purposes, NO CHILDREN UNDER THE AGE OF 12 are permitted in the aesthetic or clinical treatment areas. We do not have the facilities to care for children or pets, and hope you understand we cannot assure their safety in a professional environment. 

As a form of assessment and documentation, our practice (during pre/post procedures) utilize photography. Our practice stores and maintains photographs in a secure medical chart, a HIPPA compliant EMR. Clients are asked to consent, authorize or deny the use of photography pertaining to their images. Consents include permission to use photography as follows: medical documentation, educational/training purposes , website, and social media.  All clients have the right to deny the use and/or posting of photography. 

All services and treatments are FINAL SALE.  All products purchased from are considered FINAL SALE. They are non-returnable and non-refundable.