PRACTICE RULES, CONTRACT & CONSENT FOR TREATMENT
READ THIS ENTIRE DOCUMENT CAREFULLY AND MAKE SURE YOU UNDERSTAND IT.
Confidentiality: By law, everything discussed during therapy and all related records, are strictly confidential. Your information will not be shared for any reason unless you give written consent to authorize the release, or if you meet the legal exceptions to confidentiality (danger to self, -to others; being gravely disabled). Dr. Crous is a mandated reporter and must report any child or elder abuse in the community, or reasonable suspicion thereof. HIPAA Notice of Privacy Practices applies to all relevant aspects of this provider/practice.
Fees: 45-50-minute telehealth session $200.00.
Fees are subject to change, and any adjustments will be communicated in advance.
Full fee applicable for no-shows or cancellations with less than 24 hours' notice.
If you arrive late, you will have a shorter session, and the full fee will apply.
You will be considered a no-show if you are 20 minutes or more late.
Payment is due at the end of the session.
Payment is processed through a HIPAA-compliant third-party app called IVY Pay. Credit, debit, or HSA cards are accepted.
Insurance:
Aetna
Dr. Crous is an in-network provider with Aetna. Patients are responsible for the co-pay amount. If your plan has a deductible, you will be responsible for the session fee until the deductible is met. It is your responsibility to verify the details of your insurance coverage. You remain ultimately responsible for the payment of your bill, even if you are using your insurance. This includes claims denied by your insurance.
All other Insurance plans.
Dr. Crous is an out-of-network provider for all other insurance plans. The full fee is payable after each session. If you want to submit a claim to your insurance for reimbursement, ask Dr. Crous for a “Superbill” or a statement.
Session length: All sessions are 45-50 minutes.
24-HR CANCELLATION POLICY:
Please provide at least 24 hours' notice if you need to cancel or reschedule your appointment to avoid being charged the full session fee. This applies to both private and insurance clients. Insurance does not pay for missed appointments or late cancellations.
Emergencies:
For life-threatening emergencies, call 911 or go to the nearest hospital ER.
For mental health crises, call 988 for the Suicide and Crisis Lifeline.
Non-life-threatening situations can be addressed by contacting Dr. Crous directly via email, text message, or voice mail.
Dual Relationships: The laws and ethics codes about psychotherapy prohibit dual relationships between therapists and clients. This includes doing business with each other, or socializing, in person or online/social media.
Notice to consumers:
The Department of Consumer Affairs' Board of Psychology receives and responds to questions and complaints regarding the practice of psychology. If you have questions or complaints, you may contact the board by visiting their web site, calling 1-866-503-3221, or writing to the following address: Board of Psychology, 1422 Howe Avenue, Suite 22, Sacramento, CA 95825-3236.
READ THIS ENTIRE DOCUMENT CAREFULLY AND MAKE SURE YOU UNDERSTAND IT.
Confidentiality: By law, everything discussed during therapy and all related records, are strictly confidential. Your information will not be shared for any reason unless you give written consent to authorize the release, or if you meet the legal exceptions to confidentiality (danger to self, -to others; being gravely disabled). Dr. Crous is a mandated reporter and must report any child or elder abuse in the community, or reasonable suspicion thereof. HIPAA Notice of Privacy Practices applies to all relevant aspects of this provider/practice.
Fees: 45-50-minute telehealth session $200.00.
Fees are subject to change, and any adjustments will be communicated in advance.
Full fee applicable for no-shows or cancellations with less than 24 hours' notice.
If you arrive late, you will have a shorter session, and the full fee will apply.
You will be considered a no-show if you are 20 minutes or more late.
Payment is due at the end of the session.
Payment is processed through a HIPAA-compliant third-party app called IVY Pay. Credit, debit, or HSA cards are accepted.
Insurance:
Aetna
Dr. Crous is an in-network provider with Aetna. Patients are responsible for the co-pay amount. If your plan has a deductible, you will be responsible for the session fee until the deductible is met. It is your responsibility to verify the details of your insurance coverage. You remain ultimately responsible for the payment of your bill, even if you are using your insurance. This includes claims denied by your insurance.
All other Insurance plans.
Dr. Crous is an out-of-network provider for all other insurance plans. The full fee is payable after each session. If you want to submit a claim to your insurance for reimbursement, ask Dr. Crous for a “Superbill” or a statement.
Session length: All sessions are 45-50 minutes.
24-HR CANCELLATION POLICY:
Please provide at least 24 hours' notice if you need to cancel or reschedule your appointment to avoid being charged the full session fee. This applies to both private and insurance clients. Insurance does not pay for missed appointments or late cancellations.
Emergencies:
For life-threatening emergencies, call 911 or go to the nearest hospital ER.
For mental health crises, call 988 for the Suicide and Crisis Lifeline.
Non-life-threatening situations can be addressed by contacting Dr. Crous directly via email, text message, or voice mail.
Dual Relationships: The laws and ethics codes about psychotherapy prohibit dual relationships between therapists and clients. This includes doing business with each other, or socializing, in person or online/social media.
Notice to consumers:
The Department of Consumer Affairs' Board of Psychology receives and responds to questions and complaints regarding the practice of psychology. If you have questions or complaints, you may contact the board by visiting their web site, calling 1-866-503-3221, or writing to the following address: Board of Psychology, 1422 Howe Avenue, Suite 22, Sacramento, CA 95825-3236.