Two Chairs Practice Policies
The therapeutic relationship is a deeply personal, yet contractual, agreement. This document outlines the framework for our work together, ensuring a clear understanding of expectations for both parties. Feel free to discuss any points with your consult or matched clinician.
Whether you receive services in-office or through teletherapy, the Two Chairs Practice Policies, Informed Consent, Notice of Privacy Practices, and all applicable Federal and State laws apply.
Confidentiality
No one is permitted to record a session. This includes, but is not limited to, audio recordings, video recordings, and artificial intelligence (AI) tools for capturing and processing content. Any attempt to do so may result in the immediate ending of your session.
Therapy session content and all relevant materials to your care are confidential unless you provide written consent. However, exceptions exist:
- Risk of Harm to Self: If a client poses a substantial risk of serious bodily harm to themselves.
- Risk of Harm to Others: If a client threatens grave bodily harm or death to another person.
- Mandated Reporting: Clinicians must report suspected child, elder, or dependent adult abuse or neglect (physical, emotional, sexual, or financial). Reporting laws vary by state.
- Court Orders: Two Chairs will provide information in response to subpoenas or court orders, as required by law.
- Court-Ordered Therapy: Confidentiality may not apply in court-ordered therapy or when providing expert reports to an attorney.
In order to provide the best care for you, your clinician may occasionally consult with other professionals, both within Two Chairs (internal) and externally. Internal communications among Two Chairs clinicians involved in your care are permitted by HIPAA and state law for diagnosis and treatment. For external consultations, information may be shared without using your name or other identifying information unless your written consent is obtained.
Client Responsibilities
Attendance
We cannot treat an empty chair. Decades of research indicate that consistent and continuous engagement in treatment, without missing sessions, is a primary factor in predicting its effectiveness. Simply put, treatment cannot be successful if you are not present.
On-Going Sessions
- To ensure continuity and consistency of care, you are allowed a maximum of four missed sessions, which include advanced cancellations and no-shows, within a six-month period. If you miss three appointments, your clinician will discuss with you whether continuing treatment is appropriate at this time.
Timeliness
Please arrive on time for your scheduled appointment. If you are late, there may not be enough time for your session, and it may be canceled or rescheduled.
Late Arrival Policy:
- Matching appointments: More than 10 minutes late.
- Individual therapy sessions: More than 15 minutes late.
How to notify us if you are running late:
- Matching appointments: Email support@twochairs.com or call 415-202-5159.
- Individual sessions: Email your clinician directly.
Behavior
Two Chairs maintains a strict policy against verbal hostility or abuse directed at our employees. Clients who engage in such behavior will be required to discuss the appropriateness of their conduct with a Two Chairs representative to determine continued treatment. If deemed necessary, clients may be referred to alternative services.
Updates
You must inform Two Chairs promptly of any changes to your contact information or insurance details. Inaccurate or outdated contact information could also result in missed communications regarding your care. Failure to do so may lead to delayed or denied claims, potentially making you responsible for fees.
Fees & Payment
The fees listed below are subject to change with 30 days' written notice. Our fees are updated as needed, typically occurring at the beginning of each calendar year.
- Matching Appointment: $170 / session
- Individual Therapy Session: $196 / session
We require payment at the time of service. The credit card on file will be charged after your session is completed.
- In-Network: Payment includes your copay or coinsurance. If your in-network coverage is subject to a deductible, you will be responsible for the full session cost until your deductible is satisfied. We will submit claims to your insurance, and payment will be applied towards your deductible.
- Out-Of-Network: Payment includes your session fee.
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.
Cancellations & Missed Appointments
Appointments may be canceled or rescheduled without incurring a fee, provided that such changes are made at least 48 hours prior to the scheduled session.
Fees for Late Cancellations, Reschedules, or No-Shows:
- Late Cancellations or Reschedules (less than 48 hours before session):
- In-Network: A $125 fee will apply (may vary based on your insurance plan).
- Out-of-Network: A $125 fee will apply.
- No-Shows: If you miss a scheduled session without prior notice, a $125 fee will be charged. Exceptions for illness or emergencies may be considered on a case-by-case basis.
How to cancel or reschedule your appointment:
- Matching Appointment: Contact the Care Team by emailing support@twochairs.com or calling 415-202-5159.
- Individual Therapy Sessions: Email your clinician directly.
Insurance Reimbursement
In-Network
For participating insurance plans, we can submit claims on your behalf. Your reimbursement depends on your plan's copay, coinsurance, and/or deductible. Any remaining balance determined to be your responsibility by the insurance company will be collected after we receive the Explanation of Benefits, which can take up to 90 days from the service date. It is important to understand your plan's benefits and limitations and to inform us immediately of any coverage changes, including loss of insurance. If your insurer denies coverage or payment, you will be fully responsible for all charges.
Out-of-Network
If your health insurance plan includes out-of-network coverage (PPO plans often do), we can help you submit receipts to your insurance company for reimbursement. How much you get back depends on your plan. If your insurance company does not allow us to submit claims on your behalf, we will provide you with what you need to send them. Keep in mind that how much you get back for in-person visits might be different from online visits. We cannot guarantee that you will be reimbursed for any portion of costs for your care. If your insurance company denies coverage and/or payment for services rendered, you will be fully responsible for all charges.
Good Faith Estimate
The No Surprises Act guarantees your right to a Good Faith Estimate for mental health care costs. Two Chairs provides this estimate to uninsured and self-pay clients upon request. You can request an estimate anytime before scheduling a service. Learn more at www.cms.gov/nosurprises.
Questions
If you have any questions or concerns regarding Two Chairs Practice Policies, please speak to your clinician or email support@twochairs.com.
If you are experiencing an emergency, crisis, or need immediate assistance, please call 911 or the National Crisis Hotline at 988, or go to your nearest emergency room. Additional crisis resources can be found at https://www.twochairs.com/crisis-resources