Working Together
Paperwork
INTAKE PAPERWORK
Please take a few moments to complete this intake form, and email it back to me a few days before your appointment.
RELEASE OF INFORMATION
For your protection, please download, sign and return the release of information paperwork.
Policies
RATE OF SERVICES
My fee for counseling is $160/clinical hour (50 minutes) and payments are to be made at the end of each session.
PAYMENT METHODS
Check or credit card. Checks are to be made payable to “Grace Dent Counseling.” If you choose to pay via credit card, there will be a $5.00 convenience fee. Fees may increase periodically, and thus fees are subject to change with one week’s prior notification.
INSURANCE
I do not take insurance, but I can provide an invoice with codes for filing. Insurance companies require a diagnosis before reimbursing. With that knowledge, many people choose not to file for coverage in order to prevent a diagnosis being added to their medical records.
SCHEDULING
Appointments are generally made on a weekly or every other week basis. I try to establish regular times for my clients, but appointments are not automatically held from week to week. I encourage my clients to reschedule or confirm their appointments at the end of each session.
CANCELLATION POLICY
Clients may cancel up to 24 hours prior to an appointment. Clients are responsible for the full session fee if cancellations occur within 24 hours of a session.
CONFIDENTIALITY
All information shared within our session will be held in the strictest confidence, unless you give written consent for me to share information with a third party. The exceptions to this policy are if I become aware that you are suicidal or homicidal, or if there is any instance of unreported child or elder abuse.