Policies & Fees
Clear information about session fees, payment, insurance, cancellation, confidentiality, and scope of care.
Session Fee
$225 per 50-minute of session
Payment
Payment is accepted via credit card, debit card, or HSA card through the client portal.
Insurance
Spence Counseling Alliance does not accept insurance directly. A superbill can be provided upon request for clients who wish to seek reimbursement from their insurer. Please confirm your plan's reimbursement policy directly with your insurance company before beginning treatment.
Cancellation Policy
A 48-hour notice is required to cancel or reschedule. Cancellations with less than 48 hours' notice, or no-shows, will be charged the full session fee. Three or more missed or uncancelled sessions may result in discharge from the practice.
Confidentiality
Your privacy is protected under HIPAA. Personal health information, including diagnoses, session notes, treatment plans, and billing, cannot be disclosed without your written consent.
Exceptions exist in situations involving:
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Suspected abuse of a child, dependent, or elder
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Serious threat of harm to another person or property
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Imminent risk of self-harm
As a licensed clinician, Lois is a mandated reporter. If any of these situations arise, she is required by Washington State law to notify the appropriate authorities.
For more information on your rights under HIPAA, visit: hhs.gov/hipaa
Referrals & Scope of Practice
As a private practice, there are some situations that fall outside the scope of care Spence Counseling Alliance can safely provide. These include active suicidality, substance use that significantly impairs daily functioning, and severe or untreated psychiatric conditions requiring intensive services. In these cases, referrals to appropriate providers will be made.
