Please arrive 15 minutes prior to your scheduled appointment to allow time to review your chart.
1) I understand that if I fail to give at least 48 HOUR notice prior to cancelling or rescheduling my appointment, I will be charged a LATE FEE of $30.
2) I understand that I will be charged a NO-SHOW FEE totaling the full amount of the session missed if I fail to show for my appointment.
3) I understand that I am responsible for knowing my co-payment amount once discussed and my deductible amount if insured.
4) I understand that I will be charged a $10 service charge if I fail to make my payment at the time of my appointment.
I understand that these charges are an out of pocket expense and that
my insurance provider will not cover these charges.
5) I understand that the therapy session will last between 45-60 minutes depending on type of service provided.
I understand that if I am late to the appointment, I will still have to end
the session at the allotted time.
I understand that if I am late, I am still responsible for paying the full
amount due for the session.
CONTACTING YOUR PROVIDER
You may leave a confidential voicemail for your therapist 24 hours a day, 7 days a week. Telephone calls will be returned between 8:00 am and 4:00 pm Tuesday through Thursday, unless otherwise arranged.
Email and text messaging may be used within the client portal or through a secure number for periodic business communication; including confirmation of appointments and to communicate changes that may impact scheduled appointments.
Email or text messaging will NOT be used as a means of counseling or therapeutic exchange (unless in appropriate circumstances). In the case of an emergency, please call 911. Our office is not a crisis center and, therefore, is not staffed 24 hours.
LoveHugh, LLC office hours are by appointment only. Please call and leave a message with your therapist should you need to talk outside of your regularly scheduled appointment time.
If you are a minor, your parents or legal guardian may be legally entitled to some information about your therapy. This will be discussed with you and your parents/legal guardian what information is appropriate for them to receive and which issues are more appropriately kept confidential.
“The use of telehealth technology by Florida licensed healthcare practitioners for the purpose of providing patient care within the state of Florida is not precluded by Florida law. Telehealth technologies may be employed for patient care as long as such technologies are used in a manner that is consistent with the standard of care.”
Licensed mental health professionals of LoveHugh, LLC can only offer online therapy service to residents in the state of Florida.
Telehealth will be provided through SimplePractice’s HIPAA compliant video conferencing software after an initial in person assessment regarding if online therapy is appropriate for each client.
INSURED CLIENT RESPONSIBILITY
It is the client’s responsibility to notify LoveHugh, LLC with any insurance changes and to obtain any required authorizations. LoveHugh, LLC will submit claims to the insurance company on file. Per contractual agreement with insurance companies, LoveHugh, LLC must collect all co-payment and/or deductibles due. Co-payment and/or deductibles are due at the time of the appointment. If the insurance company does not cover the cost of service provided, the balance will become your responsibility.
PAYMENT OF SERVICES
It is the client’s responsibility to make payments for all services provided at time of appointment via credit card (via Square payment system), cash, or check. Payments made through the SimplePractice system are secure and will be completed at the time the client’s chart is reviewed for billing. Client making payments through SimplePractice adheres to the policies of the Stripe payment system.
All payments not made within 30 days of service and/or when invoice was sent will be seen as “refusal to pay” and subject to being sent to a collection service. Written correspondence will be sent to client two weeks before payment is sent to a collection service to provide an opportunity to arrange a payment plan with LoveHugh, LLC. Payment plan will be on a case by case basis and determined by client and provider. Payment plans will be noted in client’s chart as an administrative note.
RELEASE OF MENTAL HEALTH RECORDS
All clients or parents/legal guardians must complete and sign a release of information authorizing LoveHugh, LLC to provide any information to another. Record request may take up to 15 business days to complete.
Ending relationships can be difficult, therefore, it is important to have a termination process in order to achieve some closure. The appropriate length of the termination depends on the length and intensity of the treatment. LoveHugh, LLC may terminate treatment after appropriate discussion with client. A termination process will occur, if it is determined that therapy is not being effectively used or if you are in default on payment. The therapeutic relationship will not be terminated without first discussing and exploring the reasons and purpose of terminating. If therapy is terminated for any reason or you request another therapist, I will provide you with a list of qualified therapists. You may also choose someone on your own or from another referral source.
Should you fail to schedule an appointment for four consecutive weeks, unless other arrangements have been made in advance, for legal and ethical reasons, LoveHugh, LLC must consider the professional relationship discontinued.