Tenille Neff  *  M.S., LCAT, LP, ATR-BC  *  576 State Highway 248, Suite 3  *  Branson, MO 65616   *  417-779-8889
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Policies & Fees

About Confidentiality


I will treat with great care all the information you share with me. It is your legal right that our sessions and my records about you be kept private. That is why I ask you to sign a “release-of-records” form before I can talk about you or send my records about you to anyone else. In general, I will tell no one what you tell me. I will not even reveal that you are receiving treatment from me. In all but a few rare situations, your confidentiality (that is, our privacy) is protected by federal and state laws and by the rules of my profession. Here are the most common cases in which confidentiality is not protected:
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1. If you were sent to me by a court or an employer for evaluation or treatment, the court or employer expects a report from me. If this is your situation, please talk with me before you tell me anything you do not want the court or your employer to know. You have a right to tell me only what you are comfortable with telling.
 
2. Are you suing someone or being sued? Are you being charged with a crime? If so, and you tell the court that you are seeing me, I may then be ordered to show the court my records. Please consult your lawyer about these issues.
 
3. If you make a serious threat to harm yourself or another person, the law requires me to try to protect you or that other person. This usually means telling others about the threat. I cannot promise never to tell others about threats you make.
 
4. If I believe a child has been or will be abused or neglected, I am legally required to report this to the authorities.
 
There are two situations in which I might talk about part of your case with another therapist. I ask now for your understanding and agreement to let me do so in these two situations.
 
First, when I am away from the office for a few days, I have a trusted fellow therapist “cover” for me. This therapist will be available to you in emergencies. Therefore, he or she needs to know about you. Of course, this therapist is bound by the same laws and rules as I am to protect your confidentiality.
 
Second, I sometimes consult other therapists or other professionals about my clients. This helps me in giving high-quality treatment. These persons are also required to keep your information private. Your name will never be given to them, some information will be changed or omitted, and they will be told only as much as they need to know to understand your situation.
 
It may be beneficial for me to confer with your primary care physician with regard to your psychological treatment or to discuss any medical problems for which you are receiving treatment. In addition, Medicare requires that I notify your physician by telephone or in writing, concerning services that are being provided by me unless you request that notification not be made.



My Fee

I do not accept insurance but my fee can sometimes be reinbursed if you have a plan that covers out-of-network services.

My current regular fee is as follows:

Regular therapy services: $ 80.00

I am able to offer a sliding scale to clients that do not have the financial resources to pay my full fee.
 

Session length and frequency

​The very first time I meet with you, we will need to give each other much basic information. For this reason, I usually schedule 1 hour plus for this first meeting. Following this, we will usually meet for a 50-minute session once or twice a week. We can schedule meetings for both your and my convenience. 

Cancellations

I will reserve a regular appointment time for you into the foreseeable future. I also do this for my other patients. Therefore, I am rarely able to fill a cancelled session unless I have several weeks’ notice. You will be charged the full fee for sessions cancelled with less than 24 hours’ notice, for other than the most serious reasons.
 
Except for unpredictable emergencies (or because of a situation that would be seen by both of us as an unpredictable emergency), I will charge you the regular fee for any missed sessions unless we are able to reschedule that session for another time.
 
If the appointment is not kept or is cancelled with less than 24 hours’ advance notice, you can expect me to charge you for it.
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