Getting Started

Free Consultation Call

I offer a free 30-minute phone consultation to prospective clients. This allows you to share a bit about what is bringing you to counseling, and I get to share a bit about how I approach this work and answer any questions you may have. It is good to "kick the tires" a bit before investing time, emotion, and resources into therapy. If everything feels like a good fit, we then move on to scheduling a first session. If you click the "Schedule Now" button, you will be directed to my client portal. There you can request the phone consult as a new client. Please note that credit card info is required to schedule online, but there will be no charge for the call. If you do wish to begin counseling without the introductory call, simply schedule a 90-minute initial session.

Online Client Portal

The client portal can be access through any of the "Schedule Now" buttons on this site. This portal is used for scheduling, rescheduling, and cancelling appointments. Online scheduling must be completed at least 24 hours prior to the session. If in need of a session within 24 hours, please text me at 770-828-5441 with the request. All documents to be completed and/or signed will happen through the portal as well. For a first appointment, please choose the 90-minute initial session. Subsequent sessions will run about an hour. Please choose between in-person sessions or virtual sessions when scheduling. You can download the SimplePractice Client Portal app for easy access to scheduling.

Virtual Sessions

Virtual sessions are available and can be scheduled in the portal. You will receive a link to access the session in your confirmation and reminders. If you are using a computer or laptop, no additional software is needed. If using a phone or tablet, you will need to download the Telehealth by SimplePractice app to connect for sessions.

Costs

Individual Counseling: $175/60 minutes, $250/90 minutes

Individual Coaching: $175/60 minutes, $250/90 minutes

Couples Counseling: $200/60 minutes, $300/90 minutes

Group Counseling: $75/90 minutes

I am not on any insurance panels, but many of my clients pursue out of network coverage if provided by their insurance policy. I can give you a "Superbill" that you can submit to your insurance. They then would pay you any out of network benefit directly. It is best to speak with them before starting so that you have a better sense of what to expect.

Payment is made to a credit/debit/FSA card kept on file so that session time is not used for the payment process.

Practice Policies

APPOINTMENTS AND CANCELLATIONS Please remember to cancel or reschedule 24 hours in advance. You will be responsible for the entire fee if cancellation is less than 24 hours. Clients receiving a sliding scale will be charged the full session rate of $175 without proper notification.

The standard meeting time for psychotherapy is 50 to 60 minutes. It is up to you, however, to determine the length of time of your sessions. Requests to change the session length needs to be discussed with the therapist in order for time to be scheduled in advance.

A $30.00 service charge will be charged for any checks returned for any reason for special handling.

Cancellations and re-scheduled session will be subject to a full charge if NOT RECEIVED AT LEAST 24 HOURS IN ADVANCE. This is necessary because a time commitment is made to you and is held exclusively for you. If you are late for a session, you may lose some of that session time. If you are 20 minutes late for a session, it will be considered a no-show and the full session rate will be charged.

TELEPHONE ACCESSIBILITY If you need to contact me between sessions, please leave a message on my voice mail. I am often not immediately available; however, I will attempt to return your call within 24 to 48 hours. Please note that Face- to-face sessions are highly preferable to phone sessions. However, in the event that you are out of town, sick or need additional support, phone sessions are available. Phone sessions between scheduled sessions will be charged at $3 per minute past the first 10 minutes of the phone call. If a true emergency situation arises, please call 911 or any local emergency room.

SOCIAL MEDIA AND TELECOMMUNICATION Due to the importance of your confidentiality and the importance of minimizing dual relationships, I do not accept friend or contact requests from current or former clients on any social networking site (Facebook, LinkedIn, etc). I believe that adding clients as friends or contacts on these sites can compromise your confidentiality and our respective privacy. It may also blur the boundaries of our therapeutic relationship. If you have questions about this, please bring them up when we meet and we can talk more about it.

ELECTRONIC COMMUNICATION I cannot ensure the confidentiality of any form of communication through electronic media, including text messages. If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, I will do so. While I may try to return messages in a timely manner, I cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies.

TERMINATION Ending relationships can be difficult. Therefore, it is important to have a termination process in order to achieve some closure. The appropriate length of the termination depends on the length and intensity of the treatment. I may terminate treatment after appropriate discussion with you and a termination process if I determine that the psychotherapy is not being effectively used or if you are in default on payment. I will not terminate the therapeutic relationship without first discussing and exploring the reasons and purpose of terminating. If therapy is terminated for any reason or you request another therapist, I will provide you with a list of qualified psychotherapists to treat you. You may also choose someone on your own or from another referral source.

Should you fail to schedule an appointment for 30 days, unless other arrangements have been made in advance, for legal and ethical reasons, I must consider the professional relationship discontinued.

USE OF AI At Coming True Counseling, I am committed to providing you with the best possible treatment. To help me manage my practice efficiently and enhance my services, I use technology, including certain artificial intelligence (Al) tools. This document explains how I use these tools and asks for your consent to use them as part of your treatment. Your privacy, confidentiality, and the quality of your treatment remain our highest priorities.

How I Use Al Tools Al tools are used strictly for administrative and supplementary support tasks under the direct supervision of your therapist. These tools do not provide therapy, make independent clinical decisions, or interact with you directly. The specific purposes for which I may use Al now and in the future include: • Assisting your therapist in drafting and organizing session notes; • Managing appointment scheduling and/or sending reminders; • Processing billing and insurance claims; • Analyzing data to identify therapy trends and track progress, which is always reviewed by your therapist; • Analyzing business information and generating reports or trends to help me manage my business; or • Helping to identify and organize external resources or referrals for your use.

How I DO NOT Use Al Tools To be clear, I do not use Al to: • Make independent therapeutic decisions or diagnoses; • Communicate with you directly to provide therapeutic advice; • Generate treatment recommendations without the direct review, approval, and input of your licensed therapist; or • Detect or interpret your emotions or mental state.

Consent for Session Transcription (If Applicable) To help create accurate and detailed session notes, I use an Al tool called Note Taker that transcribes our sessions and then prepares a draft progress note. Note Taker is a feature in the Electronic Health Record and practice management platform that I use from SimplePractice.

No Surprises Act

YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS
(OMB Control Number: 0938-1401)
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network. “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit. “Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care – like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider. You are protected from balance billing for:
Emergency services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections. You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network. When balance billing isn’t allowed, you also have the following protections: You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will payout-of-network providers and facilities directly.
Your health plan generally must:

Cover emergency services without requiring you to get approval for services in advance(prior authorization).
Cover emergency services by out-of-network providers.
Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

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COMING TO TALK, COMING TO HEAL, COMING TO GROW