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Answers to some
Frequently Asked Questions:

- Do you offer in-person, video, or phone sessions?

We provide therapy exclusively through HIPAA-compliant video sessions. This allows you to attend therapy from the comfort and privacy of your own space while ensuring your personal health information is fully protected. Our secure platforms meet federal privacy standards, safeguarding your data with encryption and other protections. You’ll also benefit from the flexibility of scheduling sessions that fit your life—without sacrificing the confidentiality and ethical standards you expect from in-person care.
 

- How long is an appointment?

Each session lasts one clinical hour (53 minutes)
 

How can I schedule an appointment?

To schedule an appointment as a new patient, visit the Schedule a Session page and complete the form provided.

If you are an existing client, please click on the Client Portal button to schedule directly with your therapist.

 

- How do I pay for my session?

All clients will input their credit card information in the secure Client Portal.  Credit cards will be billed the morning of your session for your full private pay fee or the co-pay/deductible required by your health plan.  Please note that clients are 100% responsible for any fees not paid by their insurance company.
 

- Can I use a FSA/HSA card?

Yes!  You can use these cards for any session fees.  You are also required to keep a regular credit card on file to be charged for any late-cancellation or no-show fees.
 

Why choose the private pay option?

Private pay offers you complete privacy, as your therapy records are not shared with insurance companies or added to permanent medical files. You have full control over your care—choosing your therapist, length of treatment, and session frequency—without the restrictions or diagnosis requirements that insurance often imposes. This flexibility allows therapy to focus entirely on your unique goals, at your own pace.
 

- What is a Superbill?

A SuperBill is a detailed receipt your therapist provides so you can request reimbursement from your insurance company for out-of-network services. It includes the necessary information—such as service codes, fees, and provider details—that your insurer requires to process your claim. While payment is made directly to your therapist at the time of service, a SuperBill allows you to potentially recover a portion of your costs.
 

- Do you charge late-cancellation and no-show fees?

Your appointment time is reserved just for you. Cancellations made less than 24 hours before your scheduled session—or missed sessions without notice—will be charged the full session fee. This policy helps ensure that time can be offered to other clients in need and allows the practice to maintain consistent availability. Thank you for understanding and respecting this commitment.
 

- What is a Resident in Counseling and why do they charge a different fee for therapy services?

A Resident in Counseling is a master’s-level therapist who has completed graduate training and is working under the supervision of a licensed professional to earn the clinical hours required for independent licensure. Residents offer high-quality care while gaining advanced experience, and their sessions are often offered at a reduced rate to reflect their training status. This allows clients to receive professional therapy at a more affordable cost while supporting the resident’s growth toward full licensure.
 

- Can I follow you on social media?

You can follow Graceful Changes Psychotherapy on Instagram:

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And on Twitter:

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- Is Confidentiality Guaranteed?

Your privacy is a top priority. Information shared in therapy is kept secure through encrypted records, private sessions, and adherence to professional ethics and HIPAA regulations. No details about your treatment are disclosed without your written consent.

Exceptions to Confidentiality
By law, confidentiality must be broken if:

  • You express intent to harm yourself or others.

  • There is suspected abuse or neglect of a child, elder, or vulnerable adult.

  • Records are court-ordered.

These exceptions exist to ensure safety while maintaining the highest level of privacy in all other circumstances.

- What is the No Surprises Act?

The No Surprises Act is a federal law designed to protect clients from unexpected medical bills. For therapy, this means you have the right to receive a Good Faith Estimate of expected costs before starting services if you are uninsured or not using insurance. This estimate outlines the anticipated fees for your sessions so you can make informed decisions about your care without surprise charges. The goal is transparency—helping you know what to expect financially before treatment begins.

- What if I have more questions?

Feel free to contact us any time you like and we will do our best to answer all of your questions in a timely manner.

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© 2016 by Graceful Changes Psychotherapy.

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