We may change this Privacy Policy from time to time. If we make changes, we will notify you by revising the “Last Updated” date at the top of this policy and, in some cases, we may provide you with additional notice (such as by adding a statement to our website or by sending you a notification). We encourage you to review our Privacy Policy whenever you access the Services or otherwise interact with us to stay informed about our information practices and the ways you can help protect your privacy.

Collection of Information

Information You Provide to Us

We collect information you provide directly to us. For example, we collect information when you create an account, participate in any interactive features of the Services; subscribe to a newsletter or email list; participate in an event, survey, contest, or promotion; make a purchase; communicate with us via third-party social media sites; request customer support; or otherwise communicate with us.

The types of information we may collect include your name, email address, password, postal address, phone number, gender, date of birth, occupation, employer information, photo, payment information (such as your credit or debit card and billing address), preference or interest data, and any other information you choose to provide.

If you provide an email address to invite a friend to participate in the Services, we will collect that email address and use it to send your friend such an invitation.

Informed Consent for Legal Proceedings

For legal proceedings that require your therapist’s response, we bill $300 per hour (includes time spent responding to subpoenas, depositions, time

spent waiting to testify, driving time to the court, etc.). I require a retainer of

$2000, which is due twenty-four (24) hours after the receipt of a

valid subpoena for my appearance in court or a deposition or for a records request

from an attorney or agent of an attorney.

Any additional time spent on the day of court/deposition appearance will be billed

to your credit card or, if there is no credit card on file, then it is expected to be paid

in full within 48 hours of the bill being sent. Out-of-pocket expenses associated

with travel shall also be billed to you with the same expectation of payment.

You are responsible for ANY legal fees that your therapist incurs as related to your

case or treatment including, but not limited to, any legal consultation that is sought

regarding your case or treatment. Your therapist reserves the right to suspend or

terminate services if there is an unpaid balance in your account. Payment will be

expected from you, regardless of whose attorney subpoenas my involvement.

Good Faith Estimate Notice

Your Right to Receive a Good Faith Estimate

Under the law, health care providers are required to provide clients who do not have insurance or who are not using insurance with an estimate of the expected charges for medical services, including psychotherapy services.

You have the right to receive a Good Faith Estimate explaining how much your therapy services are expected to cost.

If you are paying out-of-pocket (not using insurance), you can request a Good Faith Estimate before scheduling services or at any time during treatment.

Your Good Faith Estimate will include:

The cost per session

The frequency of sessions (if known)

The estimated total cost of services over a period of time

Session Fees

Individual Therapy (50–55 minutes): $_____ per session
Extended Sessions (if applicable): $_____
Other Services (letters, forms, consultations): $_____

The total cost of therapy depends on the number of sessions needed, which varies based on individual goals and clinical needs.

You may request a written Good Faith Estimate at any time by contacting:

Allyson Patterson, M.Ed., LPC 
If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.

For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

Professional Practice Statements

For the purpose of reporting violations of licensing rules or regulations, the Texas Behavioral Health Executive Council (BHEC) may be contacted via one of the following means:

Texas Behavioral Health Executive Council
George H.W. Bush State Office Building
1801 Congress Avenue, Suite 7.300
Austin, Texas 78701
1-800-821-3205
https://www.bhec.texas.gov/discipline-and-complaints/index.html.

In addition, the following notice is provided as required by the Texas Behavioral Health Executive Counsel:

NOTICE TO CLIENTS

The Texas Behavioral Health Executive Counsel investigates and prosecutes professional misconduct committed by marriage and family therapists, professional counselors, psychologists, psychological associates, social workers, and licensed specialists in school psychology.

Although not every complaint against or dispute with a licensee involves professional misconduct, the Executive Council will provide you with information about how to file a complaint.

Please call 1-800-821-3205 for more information.

Notice Regarding Records Requests Containing Protected Health Information

For clients seeking copies of their records:

• If you are represented by an attorney: Please have your attorney submit a written request to my office using one of the contact methods provided.
• If you are representing yourself: Please send your written request through the same contact options.

Additional resources:

• Contact information for Health Care Regulation (HCR) staff is available at: Texas HHS – HCR Program Staff
• The Office of the Attorney General's Health Care Consumer Protection website can be found at: Texas Attorney General – Health Care Consumer Protection