Privacy & Policy

Confidentiality & Privacy policy

The law protects the relationship between a client and a psychotherapist, and information cannot be disclosed without written permission.

Exceptions include:

Suspected child abuse or dependant adult or elder abuse, for which I am required by law to report this to the appropriate authorities immediately.
If a client is threatening serious bodily harm to another person/s, I must notify the police and inform the intended victim.
If a client intends to harm himself or herself, I will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.

Payment

Co-pays, allowables, coinsurances, and out-of-pocket rates are to be paid at the time of your appointment, per your insurance contract.
Benefits for mental health coverage do vary from one carrier to another; contact your insurance provider and/or the office if you have any questions or concerns regarding your mental health benefits or authorizations.
The office accepts cash, credit/debit cards, and checks for payment.
A credit/debit card is required to be on file. If cash or a check is not given at the time of your appointment, the card on file will be processed for payment.
If a check given for payment does not process, a $35.00 NSF Fee will be charged in addition to the balance previously owed. In addition, checks will no longer be accepted as a form of payment.

***Please note that a 4% fee will be charged when using a credit/debit card for payments. To avoid this fee, please use cash or checks as your payment method***

Appointment Policy

Office visits are by appointment only and vary according to each provider's schedule and a patient's need.
If you need to cancel and/or reschedule your appointment, we ask that you do so MORE THAN 24-hours in advance of your scheduled appointment time.
For established clients, if you cancel and/or reschedule less than 24 hours in advance or do not show up for your appointment, you will be charged a $75.00 No Show/Late Cancellation Fee.

Please Be Advised:

Starting July 1st, 2024, the office will be implementing a No Show/Late Cancellation Fee of $75.00

For new clients/initial evaluations, the same 24-hour policy applies for cancelling/rescheduling appointments, however, if you cancel less than 24-hours in advance or do not show up for your appointment, rescheduling will be unavailable due to the provider's limited scheduling availability.
Adults over the age of 18 must schedule their own appointments; If for any reason they are unable to schedule on their own, please contact the office regarding scheduling.

Prescription Refills

All prescription refill requests must be called in a minimum of 7 business days before your medication runs out to ensure Dr. Bonin is able to get to the request in a timely manner.

Fees

Forms:

There is a $25.00 fee per every half hour required for your provider to complete any requested forms or paperwork.

Records:

Records requested by other physicians or health professionals rendering active treatment are free of charge.
If requested by the individual client, records are printed at the costs listed below:

Pages 1-25

Pages 26-300

Pages 301+

$1.00 per page

$0.50 per page

$0.25 per page