This section is intended to provide you with information about fees, appointments,
insurance and telephone calls. Please read it carefully to ensure that you
understand all of the policies mentioned.
|Family Therapy, Individual & Couple
||$100.00 per 50 minute session
||$100.00 - $125.00 per person per month.
|Mediation, report writing, letter writing or other requested
|| $135.00 per hour. A minimum of four hours
will be charged for each such appearance.
For work outside of our offices, such as seeing clients in the hospital or house calls, we charge our
regular rate "portal to portal" -- that is for the time that we are out of the
office on your behalf.
Full Payment is due at the beginning of each session. Please make out your cheque before the session
begins. This will ensure that sessional time is not spent on bookkeeping.
We run a "cash practice" and prefer not to have to deal with the extra overhead of billing. For this
reason we expect outstanding balances, i.e. "I forgot my chequebook," or "I
forgot we had an appointment," to be made up at the next session.
We will be pleased to provide you with a receipt with a copy for your insurance company. Please
specify that you intend to submit a claim due to the extra information required
for insurance reimbursement and let us have a copy of the policy. We will make
every effort to assist you in obtaining full or partial reimbursment.
Additionally, your insurance may require that we provide them with an
assessment and detailed progress reports. You may understandably elect not to
use your insurance to protect your confidentiality or to avoid the "mental
Your health insurance policy is a contract between you and your insurance company.
We are not a party to that contract. We do not contract directly with insurance
companies as a network provider, so we are responsible and accountable only to
you. Thus our loyalties are not divided, and there is no conflict of interest.
Usual and Customary Fees:
Our practice is committed to providing the best treatment possible at a reasonable
rate. For the Toronto area our fees are on par with what others charge, given
comparable levels of experience and expertise. You are responsible for payment
regardless of any insurance company's arbitrary determination of usual and
You do not need to knock on the front door when you arrive for your appointment. Come in
and sit down in the waiting area. We will come and get you promptly at the start of the hour.
Our time will end at ten minutes to the hour. We use this time to review our clinical notes,
return phone calls, and prepare for our next appointment.
Please help us stay on time by having your cheque written prior to the beginning of the
In all matters having to do with your therapy, confidentiality will be maintained
unless you have signed a written release of information to a specific
individual or agency. If your insurance uses managed health care we may be
required to write reports or discuss your case with a case manager.
There are three exceptions to the confidentiality policy:
- In some circumstances (i.e., child abuse) we are legally obligated to
report matters to the authorities;
- When we believe that a client is of imminent danger to himself or others; or
- When we decide that consultation with a colleague will help in your treatment. In the
situation, your name will not be used.
At the end of our first session we will make arrangements for further
appointments. You can either have the same time and day each week, or if your
own schedule does not allow for this we can vary the time and day. Due to our
caseloads, there are usually limited possibilities as far as open times.
Evening and Saturday appointments tend to be booked up quickly.
If you are unable to keep an appointment please provide us with 48 hours
notice so that the time may be made available to others who need our help.
If you miss an appointment without notifying us or cancel with less than 48 hours notice, we will
need to charge you our full fee for the missed time.
*Insurance companies do not reimburse for missed appointments.
Phone Calls & Messages:
We strive to promptly return all calls, but there can be unavoidable delays. If we
are unavailable for a period of several days (such as vacation, etc.) we will
leave instructions on our telephone message about back-up arrangements.
You may call James Vickers on his cell phone, (416) 721-3841 in the event of an
emergency. Should James not be available, he will return your call as soon as
However, if for any reason you are unable to reach us, please contact the nearest hospital emergency room.
Notice of Termination:
You are not obligated to see us for any specified number of
sessions*. It is important, however, to give us one session's notice.
What we want to avoid is a situation where you cancel and then don't reschedule without
explanation. A clean ending will be important to both of us.
* This policy differs from that involving a commitment to group therapy. If you become
a group member please make sure that you review the "Group Ground Rules" before