Office Policies

I’m here to support your unique needs and challenges so that you can create significant, long-lasting change. Please review my office policies designed to facilitate your growth and healing.

Confidentiality

All information disclosed within sessions and the written records pertaining to those sessions are confidential. The information may not be revealed to anyone without your written permission, except where disclosure is required by law or court order. The law requires disclosure when there is a reasonable suspicion of child abuse or neglect, when a patient presents a danger to self, specific other, or to property.

Sessions

During our initial consultation, I will assess whether I have the skill set and experience to be helpful. A consultation is also a time for you to evaluate if you feel comfortable with me and my way of engaging with you. 

Subsequent individual sessions are 45 minutes long; Couples/Family session are 1 hour, unless otherwise planned. Group sessions are typically 90 minutes.

I require 72 hours notice by email before the cancellation of an appointment. If sufficient notice is given, you will not be charged for the session. I will always try to reschedule a cancelled session within the week whenever possible.

I want to hear any concerns and questions about our work together. Sharing these with me is an essential component of working together and healing.

Payments

Payment is expected at time of service unless we make a different arrangement.

I accept checks, Venmo, Zelle —no credit cards please.

I am not an “in network participating provider” but will provide you with documentation to access your “out of network” insurance benefits. The documentation or “invoice” can be submitted to your insurance company, along with an insurance claim form for utilizing any out of network benefits your insurance company provides. Please consult with your health insurance provider regarding deductibles, sessions allowed and copayments.

Please ask your insurance provider the following questions:
– Do I have a different mental health provider from my medical health provider?
– Am I able to receive reimbursement to work with an “out of network” psychotherapist?
– What is my deductible and has it been met? Is there a cap to this benefit?
– What is the coverage amount per therapy session and does this change and if so, when?

With your permission, I will confer with insurance companies in an effort to help you receive reimbursements.

Whenever you use your insurance for mental health benefits a numeric psychiatric diagnosis must be provided to the insurance company. Depending on one’s insurance, out of network providers are sometimes requested to have “peer reviews” to rationalize the “need for therapy” and reimbursement from them to you. This phone review will contain more detailed information about you and our work together. It will happen with your consent only. Therefore, some patients choose not to use insurance benefits when personal material explored in therapy feels especially private.

Many larger companies offer a flexible spending account in which you may submit receipts for psychotherapy services not covered by insurance. Please inquire with your employer whether this is an option you can utilize. I will provide receipts of services rendered for submission to flexible spending accounts.

I will explore providing a sliding fee scale for all services when appropriate and will evaluate this with you on a regular basis.

After 90 days of nonpayment, I will consider your account delinquent and take necessary actions to obtain payment.

Contact Me Or Request More Information

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LouAnn Smith Psychotherapy

Couple, Family, Group and Individual Therapy, Mediation & EMDR.

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My office is located at 113 University Place, directly south of Union Square. NYC