Click on the tabs below to view the following information:

• Emergency Response Plan
  
• Notice of Privacy Practices
• No Surprises Act Standard Notice

• Emergency Response Plan
• Notice of Privacy Practices
• No Surprises Act Standard Notice

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A mental health crisis is any situation in which your thoughts, feelings, or behaviors may lead you to hurt yourself, hurt others, and/or put you at risk of being unable to care for yourself in a healthy way.
 
A crisis is a situation that requires immediate intervention by a professional. Since I may not be immediately available when a crisis occurs, seek emergency services first, then leave a message for me on my cell phone.
 
EMERGENCY RESPONSE PLAN
 
If an emergency occurs between sessions, before you call me, you may:

• Contact a trusted family member or friend who can assist you with getting help.
• Text HOME to 741741 to reach the Crisis Textline (for any urgent/crisis situation).
• Dial 988 to reach the Suicide Prevention Lifeline.
• Visit a local urgent care office.
• Go to your nearest emergency room.
• Call 911.

After obtaining emergency services:

• Call my cell phone.
• If I do not answer, leave a message, and I will return the call as soon as I am able.

 
If a telehealth session is interrupted while you are experiencing an emergency, and we are unable to re-establish contact within two minutes, you should call 911 or go to your local emergency room. I will also contact emergency services and/or your emergency contact person.

Notice of Privacy Practices

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
• Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 213-537-4554.