Two Chairs Practice Policies

We cannot treat an empty chair.

Decades of research show that continuity and consistency of attendance is one of the best predictors of whether therapy will be effective for you.  

Client Attendance Policy

For Individual Therapy Sessions:

• We allow a maximum of 4 missed sessions (including advanced cancellations and/or no shows) every 6 months to ensure continuity and consistency in care.  After 3 missed appointments, your clinician will discuss with you whether or not continuing treatment is appropriate for you at this time.

For Group Therapy Sessions:

• Attendance for the first session is required.
• We allow a maximum of 2 missed sessions (including advanced cancellations and/or no shows) for every 12 week group session to hold your space and ensure the continuity needed for high-quality group care.

Timeliness

Please be on time for your scheduled appointment. If you are late for your appointment, there may not be sufficient time for a session and it  may be canceled or rescheduled. 

• Late is defined as 10+ minutes for a Matching Appointment, 15+ minutes for an individual therapy session, or 10+ minutes for group therapy.
• If you are running late for a Matching Appointment, please contact us via email to support@twochairs.com or by phone at 415-202-5159 (8:00am - 6:00pm PST, Monday through Friday).
• If you are running late for your individual or group therapy session, please contact your clinician directly via email.

Cancellations & Missed Appointments

Cancellations or reschedules are allowed up to 48 hours before scheduled start time with no fees. 

For Matching Appointments:

• Cancellations and/or reschedules are allowed up to 48 hours before the scheduled start time.
• If you need to cancel or reschedule a Matching Appointment, please contact us via email to support@twochairs.com or by phone at 415-202-5159 (8:00am - 6:00pm PST, Monday through Friday).

For Individual Therapy Sessions:

• If you cancel or request to reschedule less than 48 hours before your scheduled session, you will be responsible for the full session fee, unless you are able to schedule within the same week.
• If you do not show up for your scheduled session, you will be responsible for the full session fee.
• If you need to cancel or reschedule your individual therapy session, please contact your clinician directly via email.

For Group Therapy Sessions:

• You will be responsible for the full session fee if cancellation or request to reschedule occurs less than 48 hours before your scheduled session.
• You will be responsible for the full session fee if you do not show up for your scheduled session.
• If you are unable to attend your group therapy session, please contact your group facilitator directly via email.

Payment

If applicable, we require payment at the time of service.   The credit card on file will be charged for your cost share or co-insurance once your session is completed.

If you do not have an active referral, or lose insurance coverage while in care, you may be charged up to the entire cost of the session.

If the credit card on file is declined, we will contact you directly to coordinate an alternate method of payment. Please note, if you have an outstanding balance on your account, your care may be interrupted or terminated.

We may update our fees as needed, or at the start of each calendar year. The fees listed below are subject to change with 30 days written notice at any time.

• Consult Appointment (45 Minutes): $165 / session
• Individual Therapy (50 Minutes): $196 / session
• Group Therapy: $75 / session

Rare exceptions may be made on a case-by-case basis for illness or emergencies.  

Electronic Communication

We use electronic forms of communication including email, text message reminders, and the Two Chairs Client App.  If you would like to opt out of text message reminders, or you prefer an alternate means of communication, requests must be received in writing to support@twochairs.com and we will do our best to accommodate.

Appeals and Grievances

You have the right to appeal a determination regarding your coverage or to file a grievance regarding the services you received. If you would like to do so, please reach out to your insurance company for the appropriate contacts and procedures. You can do so:

• in-person to a KP Patient Assistance Coordinator or Member Services Representative in the Member Services Department at your local KP facility

• via their website at http://www.kp.org
• by calling the KP Member Service Contact Center (contact below)

Two Chairs does not retaliate against clients who file complaints or grievances.

Accessibility

If you need assistance in accessing care, please reference the information below for the resources that are available:

KP Washington Member Service Contact Center

• Phone: 206-630-4636
• Toll-free: 1-888-901-4636
• TTY Washington Relay Service: 1-800-833-6388 or 711
• TTY Idaho Relay Service: 1-800-377-3529 or 711
• Online: kp.org/wa/feedback 

Questions

If you have any questions or concerns regarding the Practice Policies, please speak to your clinician or email support@twochairs.com.  Our Care Team is available to assist you 8:00am - 6:00pm PST, Monday through Friday.

If you are experiencing an emergency, crisis, or need immediate assistance, please call 911 or the National Crisis Hotline at 998, or go to your nearest emergency room.

Additional crisis resources can be found at https://www.twochairs.com/crisis-resources

Updated: February 15, 2023