• You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose for a Good Faith Estimate before you schedule an item or 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, visit www.cms.gov/nosurprises or call 503-622-8964.

• Cancelation & No-Show
  Your appointment time is set aside specifically for you. If you are unable to make your appointment please provide at least 24 hours notice. If you cancel less than 24 hours, you will be charged a $100 cancelation fee. If you do not arrive for a scheduled session or arrive 15 minutes late for the scheduled time, you will be marked as a "no-show" and charged the full session fee for the missed session. Sessions that begin late will still end at their scheduled times.

• Payment
  All established patients are expected to have an active card on file and enrolled in Autopay.

• Confidentiality
  All information revealed by you during your time is confidential and will not be shared with anyone without your prior written permission. Due to clinicians being mandated reporters, there are certain caveats under which we are required by law to release information without your prior consent. These include: imminent danger to yourself or other(s), child or elder or vulnerable adult abuse, use or distribution of child pornography, or duly issued subpoena.

• Complaints
  If you have a concern or complaint about your treatment, please talk with us about it. Your concern will be heard and taken seriously. If you believe that we’ve been unwilling to listen and respond, or that we have behaved unethically, you can contact:
  Oregon Board of Psychology
  503-378-4154
  Oregon.gov

If you are experiencing a mental health crisis, please seek help immediately.

Suicide & Crisis Lifeline: call or text 988

Lines For Life Oregon Behavioral Health Support: call 1-800-923-4357

The Trevor Project: call 1-866-488-7386 or text 678-678

You can also go to your nearest emergency room.