Policies & Procedures
Appointments are reserved specifically for you. A minimum of 24 hours’ notice is required to cancel or reschedule an appointment. Cancellations made with less than 24 hours’ notice, as well as missed appointments, will be charged the full session fee.
This policy allows the time to be offered to other clients in need and supports the consistency of care. Exceptions may be made in cases of emergency or unforeseen circumstances at the discretion of the practice.
Cancellation Policy
In accordance with federal law, you have the right to receive a Good Faith Estimate of expected charges for therapy services if you are uninsured or choosing not to use insurance.
The Good Faith Estimate provides an overview of the anticipated cost of services based on the information known at the time it is created, including session fees and the expected frequency and duration of treatment. Because therapy is individualized, actual costs may vary depending on your needs, preferences, and progress in treatment.
You will receive a Good Faith Estimate prior to beginning services or upon request. If you receive a bill that is at least $400 more than your estimate, you have the right to dispute the charges as outlined under the No Surprises Act. Additional details regarding this process will be provided during intake.
Good Faith Estimate (No Surprises Act)
Service Fees
Session fees are due in full at the time of service unless otherwise arranged in advance. Accepted forms of payment include cash, check, credit card, or clergy pay.
Ellsworth Therapy PLLC operates as a private-pay practice and does not bill insurance. If requested, a superbill may be provided for clients who wish to seek out-of-network reimbursement from their insurance provider. Reimbursement is not guaranteed and is dependent on your individual plan.
Fees are subject to periodic review and may be adjusted with advance notice. Any outstanding balances must be paid prior to scheduling future appointments.