Each new client attending therapy must complete our intake forms for "Online Intake Process" (available inside the patient portal, the link to which will be emailed to you when you contact us for an appointment). Everyone participating in therapy must complete this online portal/intake process, otherwise there will be a delay while all client(s) access and complete it during the beginning of the initial appointment. This will cut into your therapy time, so the process is best completed ahead of time. If you are attending sessions in person, you will have the option to complete paper forms, however, you will need to contact us ahead of time to be sure you can arrive 15 to 20 minutes early, so as not to cut into your therapy time.
See below for details on how to request appointment for minor children clients, multiple participants, and insurance information.
If you have any trouble accessing or completing the online intake process for each participant, please call us prior to your initial appointment at 828-328-4673 to assist.
Please scroll down to below section on this page to understand "Guidelines for Teletherapy."
Our fees are the same, no matter how many participants attend therapy! In the case of couples, family or group therapy where there is more than one client attending, each client will be required to create a portal account with us. To begin this process, only 1 of the participants should request the desired appointment time. After this, please email email@example.com or call 828-328-4673 to arrange for the other participants to receive the invitation to their portals. Include the following information in the email:
1.) Your name (this is the person who has already set up a portal account/completed paperwork).
2.) Name, cell phone number and email address of all additional participants (each must have a unique email address to create their portal accounts). If any of these participants are children, we will also need their dates of birth.
Each client will receive their own invitation to set up their portal accounts and complete their paperwork, via their regular email account. As much as possible, we request that you allow each participant to complete their own intake forms.
WE BELIEVE IN TRANSPARENCY!
Below, you will find our current fees for services, effective January 1, 2022
We do not currently accept insurance, but are happy to provide you with a “Superbill” to submit to your insurance for “Out of Network” claims. See section below for more detailed information on how to file claims yourself.
We CANNOT make any claims or guarantees regarding reimbursement from insurance companies, as your coverage is a function of the contract between you and the insurance company.
Our therapists have a very limited number of appointment slots reserved for temporarily discounted fees. If you are having financial difficulties and need a fee reduction, please contact our office to discuss possible options.
Remote/In Person Individual/Couples/Family/Group Sessions --
If Client(s) are Within the State of NC (or Arizona for Liza Shaw's remote clients) at time of service:
New Intake (Individual/Couples/Family Assessment): $185.
90 minute Follow Up: $180.
60 minute Follow Up: $120.
60 minute Equine Therapy Session (In Person only): $195.
45 minute Follow Up: $100.
30 minute Follow Up: $60.
60 minute Group Therapy: $70.
Clinical Testing (such as Connors Scale for ADHD): $240.
Remote Individual/Couples/Family/Group Sessions --
If Client(s) are outside of the State of NC (or Arizona for Liza Shaw's remote clients) at time of service -- this service may not be available for various states. Check with our staff to find out more):
New Intake (Individual/Couples/Family/Group Assessment): $300.
60 minute Follow Up: $200.
45 minute Follow Up: $150.
30 minute Follow Up: $100.
Remote/In Person Life/Health/Business Coaching (Never covered by insurance):
30 minute session: $75.
60 minute session: $130.
90 minute session: $205.
Voluntary/Involuntary Legal Consults/Testimony (Never covered by insurance) -- $1,050 per 3-hour time block; $1,200 retainer fee required
Copies of Documentation: $10. mimimum fee; .75 cents per page for first 25 pages; .50 cents per page thereafter.
Late Cancel/No Show Fee: Without a minimum of 48 hours' notice, non-emergency late cancelations/no-shows will incur the above posted fees for each service listed.
The above fees may be subjected to change with a minimum of 1 months' notice. When changes to our fees occur, we will inform active clients via a notification in their patient portal, as well as posted notifications in the office, at least 1 month prior to changes. At that time, clients will be given new Good Faith Estimates to demonstrate the estimated costs of treatment based on the new fees. (see section below for more details on Good Faith Estimates).
We are out of network with all insurance companies. Many of our clients use their "Out of Network" benefits and are reimbursed for the out of pocket fees paid for our services. Please click on the link, below, to learn how to contact your insurance company for Out of Network Benefits information.
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
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 in-network insurance coverage an estimate of the bill for health services.
Please see additional information at the bottom of this page, to learn more about your Federal rights to protection against "balance billing."
A Custodial Adult must request the initial appointment (click on above link). Be sure to complete your own paperwork from YOUR point of view (describing the issues YOU are having as you are responding to/dealing with the problems that are bringing your child into therapy).
After creating your online portal and completing your own paperwork, send an email to "firstname.lastname@example.org" or call 828-328-4673. Provide the following information:
1.) Your name (this is the person who has already set up a portal account/completed paperwork).
2.) Name, cell phone and email address of all additional participants who will be attending therapy (each must have their own unique email address to create their portal accounts). If any of these participants are minors, please also provide their date of birth. We may also request contact information for any other custodial parents.
Each additional client will receive their own invitation to set up their portal accounts and complete their paperwork via email.
If child is capable, please have him/her complete as much of his/her own intake as possible (with supervision, of course!). If you must complete the paperwork for the child, be sure you complete your own paperwork from YOUR point of view, and the child's paperwork as you believe they would see the situation if they could describe it.
IMPORTANT: If you are seeking therapy for a child, the custodial parent(s) and/or guardian(s) must participate in the initial session without the child present whenever possible. Please do not have your child present at the initial appointment. Your therapist may request that other important adults in the child's life be present for the first appointment, or to be present at other times during the course of therapy.
Therapists at MFTS may request contact with non-participating legal guardian(s) of child at any time during treatment, and may also request participation in treatment by these guardian(s), regardless of custodial status, unless this contact would present a threat to the child.
Please remember that any time we are working with a minor child, we may require documentation of custodial rights prior to seeing the child for therapy.
If an appointment is not specifically set up for your child/children, we ask that you do not have them present in the session. This relates to both in-person as well as remote sessions.
Appointments may be rescheduled if a child is present during an appointment that is not specifically set for them to attend, and the late-cancelation fee incurred. Optionally, the child can attend the session as a family member (at therapist's discretion based on clinical value), however, all paperwork and parental consents must be signed before they can do this.
1.) A high speed internet connection.
2.) A computer, tablet or smartphone that may require a very small software application to be downloaded. Larger screens are better, and smart phones are not ideal for remote therapy sessions.
3.) A quiet, private place where you can participate in tele-therapy without being interrupted. Please take precautions to ensure your privacy. We cannot be responsible for someone in your environment, hearing your tele-therapy session. Please do NOT have anyone in the room with you during your session.
4.) Remote therapy sessions are not safe and therefore, CANNOT occur if the client or anyone participating in the session is operating a motor vehicle. If client(s) attempt to have their session in a moving vehicle, their therapist will request that they pull over for the duration of the session. If the client cannot stop driving for the allotted session time, the therapist will be required to end the session. This session fee will not be refunded unless the reason for being in the car is a true emergency. In that case and at the Therapist's discretion, they may choose to waive the charge and reschedule the session to a time when the client will be available.
5.) Optional but a very good idea: earbuds or headphones. These help eliminate background noise/echoing problems, and also assist with privacy (since both sides of the conversation cannot be heard in your environment).
Remote therapy sessions must occur while the client is within the state of NC (and/or Arizona for Liza Shaw's clients). Your therapist will confirm at the start of your therapy session, that you are, in fact, within one of these states. If you are outside of them, the appointment will need to be rescheduled and the fee will not be reimbursed unless the reason for being out of state is deemed a true emergency by your therapist.
1.) In general, the way to connect with your tele-therapy session is through your patient portal. Log in and you will see a button that says "Join Meeting." Click on this button just before your appointed time. Occasionally, one of our therapists will be using a different video conferencing platform. In this case, you will receive a message in the portal, informing you of the link to your secure online meeting room. Save this message, as the meeting link will not change through the duration of your therapy process.
3.) When you log in to your meeting at the appointed time, please keep in mind that your therapist may be in another session just before yours, and it could run over by a few minutes. We always ask that you leave about 15-20 minutes on the other end of an appointment, in case your appointment time starts a few minutes late due to the previous client needing extra time. We ask for your understanding, considering that it could be you, at some later date, who needs the occasional extra time. We want clients to receive the full allotted time for their sessions so if you book something too close to your appointment time, you could miss out on receiving all of the time you are paying for.
4.) In order to participate in tele-therapy, you must be willing to keep a credit or debit card stored in our encrypted electronic medical records system. Please have this credit/debit card ready to give your therapist at your first appointment. Alternatively, you can input this card number into your portal prior to your first appointment. At any time, you can pre-pay for sessions in the portal. We take VISA, M/C and Discover. We do not accept American Express.
5.) Understand that technical problems can happen! If you have technical difficulties, please contact us at 828-328-4673 so we can assist you. Alternatively, your therapist might give you their business cell phone number to communicate in case their are technical issues. We may have to reschedule your appointment if the issues are not able to be resolved at the time of your appointment, and of course there is no charge for appointments that cannot occur due to unforeseen technical problems.
The following may not be applicable to private psychotherapy practice, however, the below information is Federally required to be posted by all health care practitioners.
(OMB Control Number: 0938-1401)
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care - like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
When you get services from an in-network hospital or ambulatory surgical center, certain providers may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.
You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have the following protections:
You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
Your health plan generally must:
Cover emergency services without requiring you to get approval for services in advance (prior authorization).
Cover emergency services by out-of-network providers.
Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe you’ve been wrongly billed, you may contact:
NC Office of the Secretary of State
PO Box 29622
Raleigh, NC 27626-0622
Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under Federal law.