Policies
Below outlines the policies for sessions. Administrative forms that need to be completed prior to your first session will be provided separately. Please complete the applicable forms and bring them with you to your appointment. Please note, HIPAA forms and the Informed Consent Agreement are required for all patients, regardless of age.
Policies
Phone:
(619) 349-9102
E-mail:
drbutler@mid-atlanticpsychology.com
Insurance
I am not currently paneled with insurance companies. Since insurance coverage varies, please check with your provider to see if they cover or reimburse out-of-network services. I will provide information to you to complete a “super bill,” if needed. Under the No Surprise Act, a Good Faith Estimate (GFE) is given prior to services and upon request.
Payment Information
Please call to request information on fees for services. A GFE can be given upon request.
Payment is due at each session by cash, check, credit card or ACH.
Please refer to the Service Agreement for further details about payment policies.
Privacy Policy
Upon request, you can obtain a copy of the National Privacy Principles/Health Privacy Principles, which describe your rights and how your information should be handled.
Cancellation Policy
Scheduled appointments may be canceled at no charge with a minimum 24-hour notice. Less than 24-hour notice or no-shows will be charged cancellation fees as outlined in the Service Agreement and GFE.