Two Chairs Practice Policies

Client Attendance Policy

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.  

A Matching Appointment is 45 minutes.  An individual Session is 50 minutes.  In some cases, your clinician may recommend two back-to-back sessions to administer specific treatments.  These will be billed as two separate sessions. 


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. Please note, we always bill for a full session even if you are late.

  • Late is defined as 10+ minutes for a Matching Appointment or 15+ minutes for a therapy session.
  • If you are running late for a Matching Appointment, please contact us via email to or by phone at 415-202-5159 (9:00 am - 6:00 pm, Monday through Friday).
  • If you are running late for your therapy session, please contact your clinician directly via email or phone.

Cancellations & No Shows

For Matching Appointments:

  • Notification to cancel or reschedule a Matching Appointment must be provided at least 48 hours before the appointment start time.
  • After booking your Matching Appointment, you will be asked to complete a Client Profile. The Client Profile must be completed at least 24 hours prior to your Matching Appointment. If the Client Profile is not completed 3 hours prior to your scheduled Matching Appointment, we may cancel your appointment.
  • You will be responsible for the full Matching Appointment fee if cancellation or request to reschedule occurs less 48 hours before your scheduled appointment.
  • Cancellations or Requests to Reschedule should be sent to or by phone at 415-202-5159 (9:00 am - 6:00 pm, Monday through Friday).

For Individual and Couples Therapy Sessions:

  • A minimum 48-hour written cancellation is required via email directly to your clinician.
  • You will be responsible for the full Session fee if cancellation or request to reschedule occurs less than 48 hours before your scheduled session.  
  • We allow a maximum of 4 missed appointments (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 at this time.


We require full payment at the time of service.

The credit card on file will be charged once your session is completed.  If the credit card 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.

  • Matching Appointment: $179 / session
  • Individual Therapy: $205 / session
  • Couples Therapy: $225 / session

Insurance Reimbursement

If your health plan includes out-of-network coverage (common with PPO plans), we may be able to assist you in submitting paperwork to your insurance company for reimbursement for the cost of your care.  If we cannot submit claims on your behalf, we will provide you with the statements needed to submit your own out-of-network claims.  Please note, under some plans in-person and teletherapy sessions may be reimbursed differently.  We cannot guarantee that you will be reimbursed for any of the costs for care.

Good Faith Estimate

You have the right to receive a Good Faith Estimate explaining how much your mental health care may cost.  Under the No Surprises Act, Two Chairs must provide clients who do not have insurance (uninsured) or who will not be using insurance to pay or reimburse for services (self-pay) an estimate of the total expected costs for services. You can ask Two Chairs for a Good Faith Estimate before you schedule a service. 

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. 

For more information about your right to a Good Faith Estimate, visit

If you have any questions about how this affects your care at Two Chairs, please reach out to our Care Coordination team at

Electronic Communication

We use electronic forms of communication including email, text message, and online client portals.  We cannot guarantee the security of information sent through electronic media, including text messages.  If you prefer an alternate means of communication, requests must be received in writing to


If you have any questions or concerns regarding the Practice Policies, please speak to your clinician or email  We seek to return messages in a timely manner but we cannot guarantee immediate response.

If you or someone you know is experiencing an emergency or crisis and needs immediate help, call 911 or go to the nearest emergency room. 

Additional crisis resources can be found at

Last updated on March 3, 2022.