In general, I would like to do all my work for you during your session, including insurance forms, prescriptions, letters to work, etc., and I charge extra for some services if you need me to do them outside of your session. Please let me know at the beginning of your session if we need to take time to do paperwork. If you wait until the end of your session, we may not have time to complete them.

I adjust my fees on a yearly basis. Any sessions not paid for at the time of service will be charged an additional $10 per half hour of my time. There is a $25 charge for any check returned by the bank.

I do not charge for most brief phone calls or emails directed related to your clinical condition. By clinical, I mean dealing directly with

• you,
• your family members,
• a pharmacist who needs to clarify a prescription,
• another physician, or
• another mental health professional

regarding your treatment.

Dealings with anyone else are non-clinical, for example:

• insurance companies,
• pharmacy management services, and
• attorneys

because I am not working for them.

Furthermore, I consider it a non-clinical matter to:

• fill out forms,
• reprint receipts,
• refill expired prescriptions, or
• write letters for you

because these matters can easily be taken care of during your session.

If you need me to attend to a non-clinical matter at any time other than during your session, I charge for this time in 15-minute increments. You must pay in advance for at least 15-minutes (or more if I know that it is going to take longer than 15 minutes). I will charge you from the moment I start something until I complete it and you must pay the balance of any additional charges at your next session. You should know that insurance companies and pharmacy management companies often keep people on hold for 20 minutes or more, so these calls can get very expensive very quickly. It is also very expensive for you if you fail to keep up with your prescription refills.

I have special policies for sending your medical records:

• I do not charge for sending medical records for clinical reasons if I have seen you within a year.
• I do charge for sending medical records for any non-clinical reason, or if I haven't seen you within a year. My current fees for this service are:
  • $21 for preparation,
  • $0.69 per page, and
  • the cost of any postage and handling.

Charges for medical records must be paid before they are sent. I do not accept payments from anyone other than you. It is up to you to get reimbursed by insurance companies, the the state of Maryland, etc. (Good luck!)

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