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Answers to some
Frequently Asked Questions:

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

All of our therapy is done via telehealth HIPAA-compliant video or phone sessions.

- How long is an appointment?

Each session runs for 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, you can view your therapist's availability in the Client Portal or contact them directly.

- How do I pay for my session?

You will input your credit card information in the secure Client Portal.  Your credit card 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?

When a therapist submits a claim to an insurance company, they are required to give a medically necessary diagnosis and provide ongoing documentation of your treatment.  Your privacy is extremely important to us and we believe you should have a choice in keeping your treatment between you and your therapist.

Additionally, policy benefits change constantly, and often without warning-- quite possibly at a crucial point in your therapy. By taking financial responsibility for your treatment, you are in full control of your services.

- What is a Superbill?

A superbill is a document that shows a list of services you received from your therapist.  You may choose to submit a superbill to your insurance company to receive reimbursement for your services.  Talk to your insurance company about your benefits and coverages.  Please note that a superbill requires a diagnosis from your therapist.

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

Yes, we do because when you schedule an appointment, your therapist has dedicated 50 minutes of their time to you.  If you do not cancel with your therapist, at least 24-hours in advance, you will be changed the full session fee.

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

A resident in counseling is a pre-licensed therapist that has completed all educational requirements and is certified by the board of Virginia to practice as a mental health therapist under the supervision of a licensed therapist.  A resident charges a lower fee because they have not yet finished the hours necessary to receive their license as a therapist.

- 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?

Everything you say is completely confidential and our therapists will always protect your privacy during this process. However, threats of harm to oneself, threats of harm to others, suspected child or elder abuse; if the client is the victim or perpetrator there are times when a therapist is legally obligated to break confidentiality and your files could be subpoenaed through the legal system. Please be aware that if you are seeking reimbursement from your insurance health company they will have access to your diagnosis and therapy records.

- Are your services available in Spanish?

 ¡Sí! Yes! Se habla espanol. We have sessions available in English and Spanish.
Please contact for more information.
Por favor, póngase en contacto con para obtener más información.

- What is the No Surprises Act?

The No Surprises Act was designed to protect consumers from receiving unexpected medical bills.

As of January 1, 2022, state-licensed or certified health care providers need to give a Good Faith Estimate of healthcare charges to every new and continuing client who is either uninsured or is not planning to submit a claim to their insurance for the healthcare services they seek.

Some disclaimers to note: 
The provider may recommend additional items or services as part of the treatment that are not reflected in the estimate. These would need to be scheduled separately. 

The information provided in the Good Faith Estimate is only an estimate, as actual items, services, or charges may differ. 

- 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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