Thank you for choosing Fraley & Associates, PLLC as your mental health care provider. Payment for professional services is due at the time treatment is provided. Every effort will be made to provide a treatment plan, which fits your timetable and budget to give you the best possible outcome. We accept cash, personal checks, debit cards and most credit cards.
We offer 5% discount when payment is made in full at the time of service by cash or personal checks.
On the day of treatment, we will collect from you the estimated amount insurance is not expected to pay. If we have received all of your insurance information on the day of the appointment, we will be happy to file a claim for you.
Mental health insurance plans are designed to share in the cost of your mental health, not to completely pay for those costs. Your mental health coverage is determined not by your medical needs, but by the agreement negotiated by your employer with the insurer. We are not responsible for how your insurance company handles your claim or what they ultimately pay for.
You are responsible for any balance on your account still owing after 45 days.
MOST IMPORTANTLY, please keep us informed of any insurance changes such as policy name, company address or change of employment.Regardless of your insurance company’s determination of usual and customary rates (UCR) or amount of assignment (allowable fees), you are required to pay the amount charged for your treatment, we will estimate your portion at the time of service. This is an estimate and any amount not paid by your insurance is payable by you.
Checks returned by your bank for non-sufficient funds (NSF) or closed account will be subject to a $25.00 returned check fee. Your account will be debited for the amount of the check along with any prompt payment discount and the returned check fee.
Any balances remaining unpaid on your account after 90 days from the date of service are subject to a FINANCE CHARGE at the periodic rate of 1.5% per month, which is an annual percentage rate of 18%. The finance charge applied to personal and insurance balance is determined by taking the balance you owed at the end of 90 days and subtracting all payments and credits received during the present billing cycle. This includes balances outstanding to insurance. Current and/or new services are not included In determining financing charges.
By signing, you have read and agree to all the terms listed above. Thank you for choosing Fraley & Associates, PLLC for your mental health treatment.
Dr. Lynn A. Fraley PhD
DIPLOMATE, AMERICAN ACADEMY OF EXPERTS IN TRAUMATIC STRESS LICENSED CLINICAL MENTAL HEALTH PRACTICIONER
In an effort to help you become a more informed consumer and to be in full compliance with the laws of Idaho and Washington, the following represents general information on my background, experience, theoretical orientation, approach to services, and fee structure. It is my desire that you obtain the best service possible to meet your current needs. Please know your decision to enter into counseling is voluntary and you have the right to terminate services at any time and I will provide a referral to another therapist. You may ask questions about any procedure and refuse any technique.
I am a Board Certified Expert in Traumatic Stress by the American Academy of Experts in Traumatic Stress. I am a Nationally Certified Counselor by the National Board of Certified Counselors Inc.; I hold a specialty Board certification in Sexual Abuse. I am licensed in the states of Washington and Idaho as a Clinical Mental Health counselor and hold my PhD in Clinical Psychology with a specialty certification in Neuropsychology and training in Behavioural Medicine, and my Master’s degree in Guidance and Counseling from Whitworth College as well as an MA in Psychology from Fielding Graduate University. I also hold a Bachelor’s of Science degree in Child Development and Family Studies from the University of Idaho. Policies are based on current American Counseling Association code of ethics.
My experience as a counselor includes working with child and adult survivors of all types of abuse, substance abuse, dependency issues, divorce & blended family structures as well as more severe and long-term mental illnesses. I have spent a number of years as a resident therapist in a Level III Residential Treatment Facility as well as serving clients on an individual basis in private practice. I am experienced in dealing with a variety of issues including anxiety, depression, borderline personality, conduct disorder, anger management, domestic violence, sexual assault & abuse, grief, post-traumatic stress disorder, marriage, separation & divorce, as well as parenting issues to name a few.
I have been trained in a variety of different modalities and prefer to take an eclectic approach, which allows me to tailor counseling techniques to you and your specific situation. I have experience in Object Relations, Cognitive-Behavioural Therapy, Play Therapy, Family Systems, Gestalt, Psychodrama and Guided Imagery. I have experience with large and small groups as well as individual therapy.
With regards to fees, I charge $375.00 for a clinical hour of consisting of 45 minutes face to face therapy and 15 minutes of chart review. A sliding scale is available upon request. Written notes may or may not be kept on your session as is agreed upon between us. My fees are payable at the time the counseling session. If requested, you will be provided with a billing statement after each session for submission to your insurance carrier. Any fees associated with collection procedures, which are required are the sole responsibility of the client. A missed appointment without 24-hour notice will result in you having to pay for the session. Payment options are available upon request.
What you say to me during therapy is privileged communication and within limits, is strictly confidential. I can release information specifically for billing purposes to your insurance carrier. I can release information if you give me written consent to do so and will advise you as to any risk I think could be associated with this release. I am required by law to reveal any information that a child is being abused or that you are a danger to yourself or others, or that you are unable to meet your basic needs. For example, if you threaten bodily harm or death to another person, I will inform the intended and the police. PLEASE BE ADVISED - If a referral to a collection agency becomes necessary, the nature of the therapeutic relationship between us will become evident.
Should you require further clarification or elaboration on any of the information in this document, I will be happy to explain further until you are satisfied.
Complaints may be filed by calling the Idaho Bureau of Occupational Licensing at 208-334-3233, via email at email@example.com, or online at ibol.idaho.gov and filling out the online complaint form.