Eutierria Therapy

Medical Insurance:

I am “out-of-network” with all medical insurance companies. If you have out-of-network mental health benefits, I will be happy to assist you by supplying bills, diagnosis, and other information requested by your carrier for reimbursement. Participant are responsible for submitting their own claims if they choose to do so. I cannot guarantee reimbursement.

 

Payment of Fees:

All charges are due the day of service and payable by cash, check, or credit card. Checks should be made payable to “Eutierria Connection, LLC.” Accounts that are delinquent may be sent to collections. All participants must keep an active credit card on file (used for missed appointments, late cancellations, administrative work, & letters). Visits must be canceled within 48 business hours (Monday- Friday 9 AM-5 PM); otherwise, you will be charged for the time reserved for you. If a participants misses two appointments, they will be required to prepay via credit card when scheduling. There are no changes to these policies when someone other than the patient is paying for visits. Additionally, paying for visits does not change confidentiality; a patient’s progress, medical record, and privileged information can still only be given with direct consent from the patient. Fees are reviewed annually and are subject to change.

 

Medical Records:

I do not release participant evaluations, progress notes, or therapy notes. A summary of care will be provided to participants and/or third parties when medical records are requested. Administrative rates apply to such requests, and the card on file will be used for this service.

 

Emergencies:

If you have an emergency, you must call 911 or go to your nearest emergency room. This is a requirement, as your therapist cannot be available at all times and emergencies require immediate attention. After doing so, call your therapist and leave a message with your name, number, and the reason for the call. Therapists are not always available to answer. This is why participants must call 911 or go to the emergency room before calling. If you have any concerns about this policy, you are required to discuss this with your therapist (at the initial evaluation or if they develop concerns during their course of treatment). If you have a history of self-injurious behavior, suicide attempts, or inpatient psychiatric hospitalizations, the appropriateness of care will be discussed during the initial consultation or appointment with your therapist.Policies are subject to change.

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Refunds:

We strive to provide the highest level of service to all clients. Our refund policy is designed to ensure fairness and transparency.

• Refund Requests:
  Clients may request a refund if they are unsatisfied with the service provided. All refund requests must be made within 15 days of the original session or service date.

• Eligibility for Refunds:
  Refunds are issued on a case-by-case basis after a review of the circumstances. Common reasons for refunds include billing errors, dissatisfaction with the service, or cancellation due to emergency circumstances.

• Non-Refundable Services:
  Services that have been fully rendered are generally non-refundable, except in cases of significant dissatisfaction or a billing error.

• How to Request a Refund:
  Clients can request a refund by emailing javier@eutierriatherapy.com or contacting by phone at 210.806.7966

• Refund Processing:
  Approved refunds will be processed within 5-7 business days. Refunds will be issued to the original method of payment.