Payment & Appointment Policies

We ask that payment for services be made at the time of your visit. As part of our commitment to transparency, we will contact your insurance provider to determine your coverage and clarify any out-of-pocket costs. Additionally, we will obtain any necessary authorizations when possible to ensure a smooth process. You have the right to receive a ‘Good Faith Estimate’ explaining how much your medical care will cost. Under the law, healthcare providers must give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including mental health services

To facilitate payment, all clients are required to complete a credit card authorization form to keep on file. This form allows us to charge your card for session fees, copays, and deductibles. It also authorizes us to process charges in the event of a missed appointment without 48-hour prior notice or for outstanding fees related to deductibles, denied insurance claims, and other assessed costs—up to $250—without additional notice. The cancellation fee for missed appointments is $100 per session (** this increases to $125 on 9.1.2025 **).

Please note: This fee also applies if you arrive 10 or more minutes late for an appointment. Late arrivals prevent us from providing the full support and attention necessary for effective care, and we must also be mindful of other scheduled clients.

Since insurance does not cover missed appointments, we appreciate your understanding that we are unable to receive payment from third parties for no-show sessions. As all clinicians at our office operate on a fee-for-service basis, missed or unpaid appointments directly impact their ability to provide care.

For helpful insights on mental wellness topics—including communication, stress management, anxiety, and depression—explore our Blog for expert guidance.

Client Portal

LifeBalance Client Portal: Current clients can access the client portal to request changes to their appointments, see appointments currently scheduled, update demographic, insurance, and payment information, or pay an outstanding bill here. If you haven’t finished your paperwork and need to get back to it, you can do this on the client portal.

Client Policies And Procedures At LifeBalance Counseling

Below are the policies and practices in place at our office for clients. If you have any questions or concerns, please don’t hesitate to contact the office or speak with your therapist directly.

Practices Regarding Your Protected Health Information (PHI): This notice describes how medical and psychological information about you may be used or disclosed and how you can get access to this information. Please review it carefully.

Practice Policies and Informed Consent for Treatment: The Board of Mental Health Practice regulations, including the Mental Health Bill of Rights, requires all licensed mental health professionals to provide clients certain basic information. To avoid confusion or misunderstandings, your licensed clinicians provide the following information about their practice for your review and agreement. Please read the information carefully and discuss and questions you have before signing below.

Social Media Policies: This document outlines our office policies related to use of Social Media. Please read it to understand how we conduct ourselves on the Internet as mental health professionals and how you can expect us to respond to various interactions that may occur between us on the Internet.

Patient Portal Usage: This practice offers secure viewing and communication as a service to patients who wish to view and communicate with this office.

Mental Health Bill of Rights

YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS

Client Forms

Authorization for Release of Information: If you feel that you would like to collaborate your care with another provider, simply fill out this form.

Mental Health Release of Information: You can download this form in the link below or ask for it to be sent to you by your therapist to electronically complete in the client portal. IMPORTANT: When you have completed your form you need to email or fax this to your provider at the office.

Professional Records: We maintain a file for each client for 7 years. If you want communication with another medical provider you see or a copy of your records, please request and complete a PHI release with your clinician.

As a client, you are entitled to a copy of your records for a fee that covers copying and administrative costs. If you wish to see a copy of your treatment records, we recommend you review them with your therapist so that they may discuss the contents.