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T: 956-345-5444

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4800 N 10th, Suite D
McAllen, TX 78504

 

© Copyright 2019 David Saavedra, LCSW All rights reserved

  • Therapy Process, Office Procedure and Financial Agreement

    The Marriage & Family Wellness Center (TMFWC) is a business office where a number of mental health professionals practice.

    Therapy Process, Rights and Risks

     

    • Please feel free to ask questions about any aspect of the therapy process.

    • If you have been referred by a court or state agency, you should know that during the therapy sessions, you have the right to divulge only what you want to be included in a report.

    • To have effective therapy sessions, you need to be willing to discuss what troubles you and be open to change.

    • During therapy sessions, you may remember unpleasant events, have intense emotions aroused, and/or you may decide to alter close relationships.

    Office Procedures

    Appointments:

    • All office visits are by appointment and will be scheduled through me directly. Please arrive on time, as you use your own time when you arrive late for an appointment. The usual length of an appointment is 50-60 minutes.

    • LATE CANCELLATIONS (LATE THAN 24 HOURS BEFORE) AND/OR NO-SHOW APPOINTMENTS ARE BILLED TO THE CLIENT FOR THE FULL AMOUNT. IF YOU ARE PAYING FOR SERVICES WITH YOUR INSURANCE OR EAP BENEFITS, A NO SHOW OR LATE CANCELLATION WILL BE CHARGED EQUAL TO WHAT THE INSURANCE/EAP REIMBURSES ME. (IN OTHER WORDS, IF YOUR REIMBURSES ME $60 A SESSION, YOU WILL ASSUME PERSONAL RESPONSIBILITY FOR THE $60 SESSION YOU HAVE MISSED. INSURANCE COMPANIES WILL NOT PAY FOR NO-SHOW CHARGES OR LATE CANCELLATION CHARGES.

    • In the case of illness, please notify me no later than 9:00am the day of the appointment. Please leave a voicemail message at 956-668-1488. (TMFWC does not employ secretarial/ receptionist support services.) If your appointment is cancelled or missed, you should contact me for a new appointment time.

    Fees and Insurance Billing

    • The client portion (co-pay) of fees is expected at the time of service. I will bill our insurance company for services provided. Ultimately, you are responsible for payment on your account. If your policy requires pre-authorization to receive services, this is your responsibility and needs to handled prior to your first visit. You may also need to check with your insurance provider whether you have a deductible to meet.

    • Failure to pay your part may jeopardize your benefits. Co-pays are not negotiable. Clients paying on a cash basis are expected to pay in full at time of service.

    • Phone calls in excess of (5) minutes will be billed at the usual rate. Insurance does not cover phone consultations, and therefore, the client assumes financial responsibility for such phone consultations.

    • You should discuss any change in your financial situation with me. In the event you find it necessary to change mental health providers and require records to be sent from TMFWC, your account will need to be paid in full.

    My Customary Fees

    • Initial Consultation: $125

    • Individual Psychotherapy: $95

    • Couples Psychotherapy: $125

    • Family Psychotherapy: $125

    • Clinical Hypnosis: $150

    • Immigration Evaluations: $300

    • Substance Abuse Evaluations (DOT): $450

    • Court Testimony: $250/hour, including travel time, portal to portal

    • Letters/Treatment Reports: $25 to $75

    • Bounced Checks: $25

    Financial Agreement with TMFWC

    • I have read, understand and agree to the above office and payment policies. I have discussed these policies with my therapist (if desired) and all questions have been answered to my satisfaction. I have been offered a copy of these policies to take with me.

    • I hereby authorize TMFWC and my therapist to release to my insurance company any information acquired in the course of my therapy (if client is a minor, or parent or guardian sign)

    • I understand my insurance coverage is a relationship between the insurance company and myself, and I agree to accept responsibility for payment of charge incurred.

    Consent to Treatment and Fee

    • I hereby agree to full responsibility for all expenses incurred by or on account of this client and hereby assign TMFWC and all insurance benefits due to me to the full extent of my financial obligation to TMFWC. I have read and/or received a copy of the TMFWC Privacy Policy.

    • If conjoint (couple or family), all adults need to sign this contract because of confidentiality and individual rights issues even though one person is the identified patient (and paying).

    Emergencies

    In the case of an emergency, the best phone number to use is 956-345-5444. If you receive the voicemail, please leave a message. I may be on the phone, in therapy with someone else, or may be out of the office.

    In a crisis situation, if I cannot be reached by you may call the 24-hour Mental Health Crisis Line: 877-289-7199, or go immediately to your local hospital emergency room.

  • Consent to Treatment

    You have decided to embark on a powerful journey known as psychotherapy, a decision of strength and courage. Know that we consider the psychotherapeutic relationship to be one of sacred trust. This letter serves to inform you about the therapeutic process, give you some information and answer questions about the professional relationship between therapist and clients.

    Psychotherapy cannot insure the successful resolution of the issues you bring to it. Human beings are far too complex and life is too uncertain. However, it is our experience as therapists that most people can gain some value from the therapeutic process. Know that as we journey together new, often unforeseen destinations may appear. The therapeutic process may not only affect you, but also relationships, work and other areas of life. There are alternatives and many adjuncts to psychotherapy. These include, but are not limited to, medications, support groups and complimentary modalities. I will be happy to discuss any alternatives you want to consider at any time.

    I have a number of client expectations about the professional relationship we embark on with each client. We expect you to keep your appointments. Please remember that someone else may want this time. Please give our other clients, their obligations, relations and your therapist the courtesy of a 24 hour notice if you must cancel an appointment; otherwise, you will be charged for this time. I always consider broken appointments individually and understand that emergencies do arise. Insurance will not pay for broken appointments.

    My current fee is $120 for the initial session. Individual therapy sessions are $90. I do have a sliding scale depending on your household income. Payment for your session is due at the time of service. We accept cash, personal checks, and credit cards. I work with a number of insurance companies via managed care contracts and we are responsible for filing claims for our services; you must pay your copay at the time services are rendered. There are no exceptions. Other insurance plans (out of network) are accepted but you may be required to pay the difference. Payment arrangements are discussed during your initial session.

    I also charge for our time when you require written correspondence. This is billed according to the amount of time utilized with a minimum fee of $25. This would include correspondence such as letters to other practitioners, disability applications, etc. Insurance will not pay for correspondence. We do not charge for customary insurance filing. Telephone consults are also billed at regular rates. The first 5 minutes we consider a professional courtesy to our relationship; thereafter, the time is billed at regular rates to the nearest quarter hour. Sessions are 50 minutes in length. I often take a few minutes of an hour between clients to relax, let go of the last session and prepare for the next one.

    My appointment times are generally on the hour from 9 AM to 5 PM. I do make earlier and later appointments but these are reserved for long standing clients. I will schedule our next appointment at the end of each session. I am in the office Monday through Saturday. You may reach me via telephone/voicemail during regular office hours. As I am in session most of the day, I do often check voice mail and return messages several times a day. If your call is non-urgent, we will respond as soon as possible. Calls left for me after 5 PM will be returned the following business day at the earliest.

    If you are in a life and death emergency situation dial 911 for assistance or go immediately to your local emergency department.

    Although the client-therapist sessions will be intimate psychologically, it is important for you to understand that the client-therapist relationship is professional and not social. All contact will be limited to sessions you arrange with your therapist. Sessions are usually held in one of our offices. If you should encounter your therapist outside of the office, the therapist will speak with you only if you initiate the contact; this allows you to maintain the privacy of your psychotherapeutic relationship. Please do not invite your therapist to social gatherings (including, but not limited to, parties, weddings, business meetings, etc.), offer gifts, or ask them to relate to you in any way other than the professional context of our therapy sessions. Although this may seem artificial and/or awkward, it is the best way to promote a good psychotherapeutic relationship.

    Your sessions should focus on your concerns exclusively. You will learn a great deal about your therapist the longer you work together; our therapist may occasionally share experiences and struggles with some regularity as models for clients. Nonetheless, you will still be experiencing the therapist in a professional role solely. As your therapist I will keep confidential anything you say with the following exceptions: a) you direct the therapist to speak about you with someone, b) The therapist determines that you are a danger to yourself or others, or c) there is evidence of child or elder abuse. In the event of the latter two exceptions, the therapist will contact family, friends, DFCS and/or law enforcement authorities to attempt to prevent harm from coming to anyone.

    As your therapist, I use an eclectic approach to therapy, meaning that they utilize a variety of therapeutic models. I work diligently to use what is most helpful for each individual rather than take any one approach exclusively. I hope this information is helpful to you. If at any time during your relationship with your therapist you have any questions, please feel free to ask.

    I do hereby seek and consent to take part in the treatment provided by this provider. I understand that developing a treatment plan with this therapist and regularly reviewing our work toward the treatment goals are in my best interest. I agree to play an active role in this process. I understand that no promises have been made to me as to the results of treatment or of any procedures provided by this therapist.

Beginners Ballet

Mondays

4:30 pm

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Tell people more about the services you offer. Use this repeating layout to display content. It's an easy way to keep your customers up to date with what's happening. Want to make this content your own? Simple drag and drop elements like text, images and links, or connect to data from your collection. Tell people more about the services you offer. Use this repeating layout to display content. It's an easy way to keep your customers up to date with what's happening. Want to make this content your own? Simply drag and drop elements.

Mommy & Me

Tuesdays

10:00 am

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Tell people more about the services you offer. Use this repeating layout to display content. It's an easy way to keep your customers up to date with what's happening. Want to make this content your own? Simple drag and drop elements like text, images and links, or connect to data from your collection. Tell people more about the services you offer. Use this repeating layout to display content. It's an easy way to keep your customers up to date with what's happening. Want to make this content your own? Simply drag and drop elements.

Little League

Saturdays

11:30 am

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Tell people more about the services you offer. Use this repeating layout to display content. It's an easy way to keep your customers up to date with what's happening. Want to make this content your own? Simple drag and drop elements like text, images and links, or connect to data from your collection. Tell people more about the services you offer. Use this repeating layout to display content. It's an easy way to keep your customers up to date with what's happening. Want to make this content your own? Simply drag and drop elements.