Welcome to our practice. The following information pertains to our practice policies. Please read carefully and let us know if you have any questions that we can answer and discuss with you. We look forward to working with you and providing you with the highest quality of care. When you sign this document, you are agreeing to and acknowledging these policies.
The initial comprehensive evaluation is performed over two sessions which are each 60 minutes in length. During these sessions, I will take the time to get to know your child and family in order to better understand your specific concerns. At the end of the second evaluation session, we will work together to develop a treatment plan that is specific to your child's needs. This may entail psychotherapy (talk therapy), medication management, education or a combination of these. I usually do not perform the therapy but will help you find a therapist that would be a great fit for your child. Some patients may benefit from a longer evaluation process of additional 1-2 sessions before a specific treatment plan can be recommended. If your child is already seeing a therapist, I can provide medication management and coordinate care with your therapist. Please complete the release of information form at the end of this document for any providers that you would like me to coordinate care with (eg, primary care physician, therapist, etc).
If medications are initiated, follow up appointments are required as long as medications are being prescribed. The frequency of these follow up appointments vary depending on response to medications, severity of illness and side effects. Medication management appointments are 25 minutes in length.
Cancellations and No-Shows
Your appointment time is reserved for you. Therefore, if you are not able to keep your appointment time, please call as soon as possible to cancel or reschedule your appointment. If you do not provide at least 24 hours’ notice of your cancelled appointment or if you fail to show for your appointment, you will be charged for the full cost of the session. Please call by Friday at 1 pm for any cancellations the following Monday.
If multiple appointments are missed without notice, we reserve the right to terminate treatment and you may be discharged from our practice.
Maintaining Regular Follow Up Appointments/No Contact Policy:
Regular follow up appointments are an important part of your care and a necessary requirement to stay in my practice. If you have not had contact with our office in 6 months, you will no longer be an active patient and will be considered discharged from our practice. Return to our practice after discharge may require a new evaluation or longer return follow up appointment. It will be at our discretion if you are able to return to our practice.
I have a full time office assistant that will answer calls during business hours Monday through Friday. I will return urgent calls as soon as possible. Routine calls will be answered within 24-48 hours with the exception of weekends and holidays. If you are experiencing an emergency and cannot wait to reach me, you should call 911 or go to the nearest emergency room. As soon as you are able to do so, please contact me to inform me of the situation.
Calls under 10 mins will not be charged. Calls over 15 mins will be charged at my hourly rate of $350 and will be prorated.
Fees for Services
My fee for the initial comprehensive evaluation is $550. 25-minute follow up appointments are $200.
In cases where you may want or need a longer follow up session, extended 60-minute follow up appointments are $350.
If you chose to do therapy with me, my fee is $350 for 55 minute sessions (with or without medication management).
I accept cash, check and credit cards. Please make checks payable to Dr. Dana Reid, LLC
Please try to bring forms that need to be completed with you to appointments if possible. For forms/letters that are completed outside of sessions there will be a charge depending on the time spent and extent of the letter/form. The fee will range from $25-100.
By signing this you are confirming that you understand that it is your financial responsibility for services provided. I am considered an out of network provider for all insurance companies. If you have insurance and wish to be reimbursed, I can provide you with a superbill at the end of your appointment so you can file with your insurance. It is your responsibility to file with your insurance company. I do NOT bill your insurance company directly. All reimbursement you obtain from your insurance company is yours.
By signing this form, you consent to have a valid credit card on file with our office at all times while you are considered an active patient. All cards are stored in a PCI secure environment where you card data is "tokenized" for additional security. By signing this form, you are authorizing our office to charge your credit card on file for all appointments including missed or no-show appointments based on our cancelation policies.
By signing this you are confirming that you understand that you will be charged for missed appointments and cancellations with less than 24 hours’ notice. Your appointment is reserved for you. If you need to cancel an appointment, please notify me as soon as possible. Appointments not cancelled with at least 24 hours’ notice will be billed at the full cost of the appointment which is $350 for 55 minutes therapy sessions, $350 for extended follow up sessions and $200 for 25 minute medication management sessions.
Full payment is due at the time service is rendered. I acknowledge responsibility for all fees incurred. Any balances due, will need to be paid in full prior to scheduling an appointment. All balances 30 days past due will be deemed delinquent. Delinquent accounts must be paid in full before any future services will be provided.