Click HERE for the informed consent. ONLINE VERSION: HERE. Please review. I will answer any questions that you might have before you sign and will have a copy for you to sign here. You do not need to print it out.
Click HERE for Google Form Intake (Preferred). HERE for a hardcopy intake. If you can do the intake before our first session, it would save time in the initial session. You can also fill it out before the session in the waiting room as well, just let me know if you need me to leave you a copy.
**When communicating via email please don't use your full name in either the subject heading or in the body of the email.**
My texting number is 518-333-9409
LOCATIONS AND DIRECTIONS
Home office is 160 Loomis Rd. Chatham NY 12037. It is a dirt road so please drive slowly (even if you are running late!). (In winter consider going from 203 to Rt.9 to Raup and then left on Loomis.)
From 90, take the Taconic southbound down to Exit 99 (Chatham - Rt. 203) Head East on Rt. 203 and take the immediate left after North Bound Taconic onto South Cross Road. Then take South Cross Road to Loomis Road (First right).
We are at the top of the hill of Loomis Road on the right and there is a black mailbox and a rock marked 160. Enter the property and please go straight (No turning left or right) and park in the front of the house on the stone parking lot (leave enough space for others). Looking straight at the house it looks like there are 3 of them, follow the stone path to the right and there is a red door where the waiting room is.
HELPFUL SKILLS TO REVIEW BEFORE FIRST SESSION
Information about my specialties and intensive services
Using Insurance vs. Self-Pay
Paying for psychotherapy out of pocket minimizes the exposure of your protected health information (PHI). Whenever you use insurance benefits to cover psychotherapy, the provider, with your consent, has to release certain types of information to the insurance entities in order to a) verify your eligibility for coverage, b) pre-authorize services (if applicable), and c) to process claims to obtain payment. As a result, the provider informs the insurance companies of the nature of the issues you struggle with, diagnosis, treatment plan, and prognosis. In the event of Self-pay, your therapy remains completely private (with the exceptions to confidentiality such as in suicidal or homicidal ideation, etc.). Once such diagnosis code is recorded by the insurance, it becomes part of your permanent healthcare record. Self-pay means no reports of your treatment are shared with your insurance and all records remain with the provider. **If you are on psychiatric medications or have ever been then you already have or had a diagnosis but you should be aware of this information when using insurance.**
Since there are certain types of therapy that may not be covered by your insurance, I have decided to not take health insurance. A lot of what I do is outside the realm of what insurance companies are willing to reimburse, even though they are evidence-based treatments. Self-Pay allows you to stay in control of your treatment. Self-pay allows you to also determine the length of your treatment based on your needs.
Furthermore, the advantage of Self-Pay includes the fact that no records of therapy exist in the Medical Information Bureau (MIB). MIB records of your therapy could potentially compromise your ability to get a current or future life, health, disability, or long-term care insurance. Self-Pay, thus, involves no psychiatric diagnosis code. If, however, you were using your insurance benefits (i.e., "superbills" that you would submit for out of network coverage), you would have to be assigned a psychiatric diagnosis in order for the provider to justify the medical necessity for the services provided.