New Client Information
Thank you for your commitment to counseling through the Barnabas Center for Counseling. We appreciate the confidence you have shown in us. This information is provided to enable us to have a clear understanding of how we could best serve you.
Each session is 50 minutes in length and will be billed at the stated price (fees are subject to change). Increments will be added for each additional quarter hour. Payments and co-pays are due and payable before your session begins. Payments are expected at the time service is rendered. If more than 2 sessions have been kept and payment has not made we will not be able to schedule any additional appointments until payment has been made unless previous arrangements have been made with the office: We have several options available to you concerning payment of fees. We accept cash, check or credit cards (Visa, MasterCard, Discover & Am Ex).
Some insurance companies will reimburse for our services. It is your responsibility-to contact your insurance company for coverage and requirement information. If you would like to pursue insurance, please inform the office as soon as possible. If we are on the provider list for your insurance company, we will file the appropriate claims and reimbursement will be sent to our office. Please be advised that if insurance does not cover the services we provide you will become fully and financially responsible for any and all charges you incur. Payment is your responsibility and due at time of service.
It is understood that if, because of non-payment, your account is turned over to a collection agency, you agree to pay all reasonable collection fees.
I hope these guidelines are helpful to you. Previous experience has shown that it is helpful to have certain guidelines regarding payment of fees to help make this therapeutic process for you a smooth one. If you have any questions or any special circumstances, we would be happy to discuss them with you.
Keith Niager, LCSW
Catherine Clevenger, LCSW
Anne McDaniel, LPC
Erin Adams, LPC
Emily McAleer, LPC
Suzanne Stangland, LPC
The Barnabas Center is committed to providing you with the highest quality of care. Great effort has been made by all of our therapists to see you in a timely manner. Quite often there is a waiting list of 2 or 3 weeks. We ask that you make every effort to keep your appointments and be on time. When we have no shows or last minute cancellations we do not have adequate notice to give that time to anyone else, especially those that have been on a waiting list.
Therefore, you must give a 24 hours’ notice (not just the day before, but 24 hrs. notice) for any appointment you need to cancel. This allows us adequate opportunity to give that time to someone else. This is out of professional courtesy to us, and allows us to schedule someone that may be in great need to come in. We understand if an event occurs beyond your control.
Therefore without proper notice you will be charged a late fee of $70 for each missed session. Insurance does not cover missed appointments
As a courtesy to you, there is a system in place to call, text, & email to remind you of your appointment. We also want to respect your privacy and confidentiality. We will only remind you with your permission.
We appreciate your understanding in this matter.
Regarding Children in Adult Sessions
We want you to be able to maximize your time in counseling, with no distractions.
Childcare coverage is not provided, therefore, we ask that you make supervision arrangements for your children while you are in counseling.
If your child is the patient and a minor, please have an adult accompany them for sign in and sign out processes (unless you make specific arrangements with the office).
We appreciate your understanding in this matter.
The Barnabas Center Mission Statement
The Barnabas Center for Counseling is a biblically based center. Our doors are opened to everyone regardless of age, sex, race, or religious affiliation.
You should expect what you share with your therapist to remain private and confidential. If we are billing a third party we must provide certain information concerning a diagnosis, services rendered and your identity. We will be pleased to discuss this with you at your request. If we are asked to share information with others outside the agency, we will require written consent on a form signed by you.
Your right to confidentiality and our ability to protect it are limited in the following three areas:
- We are required by law to report suspicions of child abuse, serious neglect or sexual abuse.
- We are required by law to report homicidal or suicidal intent.
- We do not have immunity or privilege when subpoenaed by a Court; in those cases, we are required to testify or provide requested documents.
Self Pay Rates
(when not using insurance)
|Initial Visit (50 mins)||$105.00 Self-Pay|
|Subsequent Visits (50 mins)||$85.00 Self-Pay|
|Missed/Canceled w/o 24 hrs. notice|
(not just day before, 24 hrs. prior to the scheduled appt. time)
or reasonable explanation
|Letters (cost varies depending on extent of letter)||$30.00 to $60.00|
|Court actions resulting in the Subpoena of a therapist.||$190.00/hr (plus travel time)|
If there is anything in this material you do not understand or wish to clarify, please ask your therapist. Otherwise, your signature at the end of this form indicates that you have read this document and understand it.