Therapy Policies

Confidentiality

What we discuss in therapy stays in therapy. As a mandated reporter, there are a few exceptions. By law, therapists are required to break confidentiality to protect the safety of the client and others. These include suspected child abuse or dependent adult or elder abuse; potential homicide or serious harm to others; or risk of suicide or other self-harm.

Communication

  • I currently only offer video/telehealth sessions throughout the state of California.

  • You can contact me via phone or email: 408.785.9564 | melisauribelmft@gmail.com

  • Communication via email, text message, and phone is intended for scheduling appointments and general inquiries. If you are experiencing a mental health crisis, please call or text 988

Fees & Cancellations

  • My fee for individual therapy is $210 per session.

  • An initial phone consultation is free. This is an opportunity for us to connect, discuss availability, and answer any other questions you may have.

  • I have a 48 hour cancellation policy. Appointments cancelled with less or no notice (no show) will incur the full session fee.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visitwww.cms.gov/nosurprises or call (800) 368-1019.

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Notice of Privacy Practices
Notice of Privacy Practices