ABA Therapy $100.00 per hour/sliding $100.00 per hour/sliding Varies Family Therapy $100 per hour/ sliding scale $100 per hour/or sliding Varies Group Therapy $50 per hour Groups normally run for a certain number of sessions. Life Coaching $100 per hour/or sliding scale Varies Classes $50 per series Classes normally run for a certain number of sessions. Work shops Varied Seminars Varied Consultation $100.00 per hour/sliding scale $100 per hour/or sliding scale NSF Check Fee Checks $30.00 each Phone calls $25 per quarter hour Letters/Reports (Includes Pet Letters) $50 per page Case Management $45 per hour Consultation $45 per hour Functional Assessment $400-600 Cost depends on time required to perform the assessment. Behavioral Planning $85.00 per hour Varies Behavioral Consultant $75.00 per hour Varies The following statement expresses the current policies and procedures of this office. Please read it carefully and, if you have any questions, ask your counselor for additional information or clarification. Your health record contains personal information about you and that information about you may identify you as it relates to your past, present, or future physical and/or mental health and/or condition and related health care services is commonly referred to as: Protected Health Information (PHI). This Notice of Privacy Practices describes how Empowering Choices counseling and Consultation (ECCC) may use and disclose your PHI in accordance with state and federal law which includes the Health Insurance Portability and Accountability Act (HIPAA) regulations promulgated under HIPAA including the HIPAA Privacy and Security Rules. It also describes your rights regarding how you may gain access to and control your PHI. Our Obligations: ECCC is required by State and Federal law to maintain the privacy of PHI and to provide you with notice of our legal duties and privacy practices with respect to PHI. ECCC is required to abide by the terms of this Notice of Privacy Practices. We reserve the right to change the terms of our Notice of Privacy Practices at any time. Any new Notice of Privacy Practice will be effective for all PHI that
Restlessness, Unsatisfying M Seeing Things M Feelings Worthless M Panic Attacks M Mood Swings M Excessive Guilt or Shame M Memory Problems M Excessive Energy M Difficulty Concentrating M Obsessive Thoughts M Impulsivity M Indecision M Compulsive Behaviors M Procrastination M Recurring Thoughts of M Ritual Behaviors M Racing Thoughts M Suicidal Thoughts M Intrusive Behaviors M Irresponsibility M Hopelessness M Perfectionism M Anorexia or Bulimia M Apathy M Anger Arguing M Problems with Pornography M Withdrawn, Isolated M Aggressive Behavior M Seasonal Mood Changes M Computer Addiction M Thoughts of Hurting Others M Self-Injury or Cutting M Religious/Spiritual Concerns M Violent Behaviors M Sexual Concern M Other: Which of the following make your symptoms better? Which of the following make your symptoms worse? Exercise Better Stress Better Worse Meditation Better Relationships Better Worse Music Better Worse in Crowds Better Worse Sunlight Better Worse Being in Public Better Worse Bed Rest Better Worse Being in the Center of Attention Better Worse Darkened Rooms Better Worse Financial Strains Better Worse Relationships Better Worse Health Problems Better Worse