Cancellation Policy

• Clients can cancel an appointment, without penalty, as long as more than 48-hour advanced notice is provided via phone message, text, or email. 
• This policy is not intended to be punitive.  It is rare that I can fill an appointment spot that opens up with less than 48-hour notice.  Therefore, enforcing this cancellation policy is critical to the viability of my small business.

If you provide less than 48-hour notice or you do not show up for your appointment, regardless of the reason, you have the following two options:

1. Reschedule later in the day or within a few days of the cancelled appointment; this option is only available if I have openings in my schedule.
2. Pay out-of-pocket for the full price of the session.  Note that missed sessions cannot be billed to your insurance company. Your credit card information will be held securely on file and will be used to pay for your session.  You will be notified that the credit card transaction has been processed.

Exceptions to this policy:
Payment for less than 48-hour notice is not required for the following: 1) up to one cancellation without rescheduling in a calendar year due to acute unforeseen illness; 2) hazardous weather conditions making it unsafe for you to get to the office for an in-person session.  

Please note:  I am not able to waive this policy for other reasons that might arise including unforeseen work or school demands, transportation difficulties, childcare coverage, change of plans, frequent illnesses requiring > one cancellation per calendar year, travel delays, etc.

Notice of Privacy

sarana_forms_notice_of_privacy.pdf
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Disclosure of Policies and Procedures

sarana_form_disclosure.pdf
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Teletherapy Consent Form

sarana_form_consent_for_telehealth.pdf
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Good Faith Estimate

sarana_forms_good_faith_estimate_signed_informed_consent.pdf
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​Requirements to Maintain Your Reserved Therapy Appointment Time

• Therapy requires a significant commitment of time, effort, expense, whole-heartedness, and intention on the part of both the client and the therapist to be able to meet the goals you have for therapy.  Consistent attendance for your therapy sessions has a critical impact on your therapeutic progress.
• I have reserved a dedicated weekly or every other week appointment for you in my schedule.
• Frequent cancellation of your appointments, even with adequate notice, will not serve your therapeutic goals nor keep my small practice viable.
• I am unable to continue to reserve appointment times for individuals who do not consistently show up for their appointments.
• Clients who forfeit their regularly scheduled time are welcome to continue therapy by scheduling online into open slots on the calendar.

 
Clients will forfeit their reserved appointment time if they:

• Attend less than 75% of scheduled appointments over the previous three-month period, even with adequate 48-hour cancellation notice. 
• Miss more than three consecutive sessions in a row. In the event the client will be away for more than three weeks at a time and the client wishes to retain the reserved appointment time into the future, payment must be made for missed sessions beyond 3 weeks. 

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