If Therapist is subpoenaed to court the fee for service is $300 an hour. Written notarized affidavits are $450.00. Request for patient records is a $25 charge. Any costs accrued during travel ie: Gas, Lodging and other accommodations.
E-mails and Phone Calls outside of session:
A phone call will be billed to the customer the same as being involved in a session. Payment is due for the phone call at the next session or needs to be mailed to ESE Telehealth. E-mails might not be answered if Therapist feels the issue would be better addressed during the next session. More than one e-mail a month, which needs to be responded to will result in a $20 dollar fee for service. Payment is due at the next session or needs to be mailed to ESE Telehealth.
Confidentiality: ESE Telehealth Therapy is legally bound by our professional code of ethics to maintain client confidentiality, with the following exceptions:
1. To disclose reports of child abuse. 2. To prevent clear and immediate danger to self or others. 3. When the therapist is a defendant in a civil, criminal, or disciplinary action arising from the therapeutic involvement. 4. If there is a signed consent to release information.
Consultation and Supervision: Occasionally, when a child or family is not making progress in therapy, we may wish to obtain consultation and/or supervision from a qualified professional outside the agency to assist us in providing the best possible services. If we determine that there is a need for consultation we will discuss this option with you and obtain your permission. This service will be billed at the hourly rate.
Consent for Release of Information: If it is necessary to contact other agencies to give or receive information about you, your family or your child, we will obtain your written permission. A parent or guardian must sign the consent forms for children and adolescents.
Crisis Line: Please call 911 if you have an emergency. Please be respectful when using the after hour crisis line. Please leave a message and therapist will call you back as soon possible. 877-755-2212.