INFORMATION & FORMS FOR NEW PATIENTS
- All psychotherapy sessions are by appointment.
- Saturday appointments available.
- I am not a provider for any insurance companies. For people with insurance that reimburses for out-of-network providers, I will give you a bill that you can submit to your insurance company for reimbursement.
Fees
Individual Psychotherapy (50-60 minutes) — $200.00
Couples Therapy (50-60 minutes) — $225.00
I accept all major credit cards. For people with insurance that reimburses for Out-of-Network providers, I will give you a bill that you can submit to your insurance company for reimbursement.
You have the right to a “Good Faith Estimate” explaining how much your mental health care will cost. 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 psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected charges for psychotherapy services. You can ask me for a Good Faith Estimate before you schedule a service.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
Forms
Please carefully review the following forms and bring them with you to your first appointment. You may download the PDF files by clicking on the links below. You may also email all completed and signed forms to Dr. Binder prior to your first appointment.
Policies & Procedures
HIPAA Form
HIPAA Signature Form
Patient Information Form
TELEPSYCH Consent