"...the bravest and most loving thing I've ever done for myself
is take that first step..."

Download "Initial Paperwork": Please fill this out prior to your first session. If you don't have access to a printer, please let me know.

CANCELLED/MISSED APPOINTMENTS:
A scheduled appointment means that time is reserved only for you. If an appointment is missed or canceled with less than 24 hours notice, the client will be billed according to the following schedule:

1st missed session without 24 hr notice: half of scheduled fee
Any session thereafter: full scheduled fee

*First consultation/session is free (up to 30 minutes either on the phone or in person).
For in person free consultation:
Please call within 24 hours if you need to cancel, otherwise the missed session will be counted as your free session. Thank you!

CONTACT:

Aimee Zakrewski Clark
10951 Sorrento Valley Road, Suite 2F (second floor)
San Diego, CA 92121

Located at the intersection of Sorrento Valley Blvd, and Sorrento Valley Road.

Call today for an appointment (760) 803-3600
or email for information.

DIRECTIONS:

From 5 South:

1. Take 5S to Sorrento Valley Road
2. Go over the train tracks and go STRAIGHT
3. Make RIGHT into the first parking lot.

From 5 North:

1.
Take 5N to the new byway (towards the 56)
2. Get off at the Carmel Mountain Road Exit
3. Make a RIGHT onto Carmel Mountain Road
4. Go to the end and make a LEFT onto Sorrento Valley Road. Go about 1.5 miles, past the train station. You will reach a big intersection.
5. Make a LEFT onto Sorrento Valley Blvd.
6. Make RIGHT into the first parking lot.


From 805 South:

1. Take 805N to Mira Mesa Blvd

2. Turn RIGHT onto Sorrento Valley Road (if you turn left it becomes Mira Mesa Blvd.)
3. Go about four miles. The building is located on the RIGHT at the corner of the large intersection of Sorrento Valley Road and Sorrento Valley Blvd.

From 805 North:

1. Take 805N to Sorrento Valley Road

2. Turn RIGHT onto Sorrento Valley Road (if you turn left it becomes Mira Mesa Blvd.)
3. Go about four miles. The building is located on the RIGHT at the corner of the large intersection of Sorrento Valley Road and Sorrento Valley Blvd.

From 56:

1. Merge onto 5N
2. Get off at the VERY NEXT EXIT: Carmel Mountain Road
3. Make a RIGHT onto Carmel Mountain Road
4. Go to the end and make a LEFT onto Sorrento Valley Road. Go about 1.5 miles, past the train station. You will reach a big intersection.
5. Make a LEFT onto Sorrento Valley Blvd.
6. Make RIGHT into the first parking lot.

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For all of these directions look for the Yoga and Racquetball facility - my building is located across the parking lot on the west side.

FEES

First session is always free (30 minute phone or in-person consultation): same 24-hour notice agreement applies.

The Therapy Hour

Fees are based on a "therapy hour", which is 50 minutes. This allows the remaining time to receive payment and for me to complete your session notes.

A "Double Session" is two combined 50-minute sessions, totaling 100 minutes.

For Individuals:
starting at $95 per hourly session (therapy hour 50 minutes)

Package Discounts:
$5 off per session if you purchase 5 upfront ($25 discount)
$10 off per session if you purchase 10 upfront ($100 discount)
*If you purchase a package and choose not to complete your sessions, you will be refunded minus the difference of the full session fee of the agreed upon hourly fee.
(credit cards, cash, and/or checks accepted)
Most PPO and POS insurance taken as an out-of-network provider.

For Families & Couples:
• $120 per hourly session (50 minute sessions)
• $180 per 80 minutes
• "Double sessions" are offered at a discounted rate of $220 (for two 50-minute sessions, totalling 100 minutes)

Package Discounts:
$10 off per session if you purchase 5 upfront ($50 discount)
$15 off per session if you purchase 10 upfront ($150 discount)
*If you purchase a package and choose not to complete your sessions, you will be refunded minus the difference of the full session fee of the agreed upon hourly fee.
(credit cards, cash, and/or checks accepted)
Most PPO and POS insurances accepted as an out-of-network therapist

Insurance is accepted as an Out-of-Network Provider:

What does it mean to be an "Out-of-Network" provider?
If you choose to use your insurance, all fees are paid upfront and then you are reimbursed by your insurance carrier. Depending upon the carrier, reimbursements are usually received between 2-3 weeks after submission.

Please print and fill out the "Health Insurance Agreement Form".

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Please don't let cost ever stop you from taking care of your needs. Everything is doable! Just contact me and if we cannot find synergy, I will provide you with alternative resources.

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OFFICE POLICIES
CONFIDENTIALITY :: FINANCIAL TERMS ::CANCELED/MISSED APPOINTMENTS

Confidentiality:
All information between counselor and client is held strictly confidential, unless:

1. The client authorizes release of information with his/her signature.
2. The client presents a physical danger to self.
3. The client presents a danger to others.
4. Child/elder abuse/neglect are suspected.

In the latter two cases, we are required by law to inform potential victims and legal authorities so that protective measures can be taken.

Confidentiality via Telephone, E-mail, and Text Messaging:

Voicemail/Telephone: All messages and telephone exchanges will be conducted with the utmost confidentiality.

E-mail & Text-Messaging: Your therapist will ensure your privacy with the utmost confidentiality, however due to the arbitrary security of the internet and any type of electronic messaging (i.e. text messages) please note: Any E-mails or Text Messages are exchanged at your own risk.
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Financial Terms:
The client is responsible for payment of psychotherapy services. Unless otherwise negotiated with therapist payment of services is due in full at the time of service. Payment arrangements should be made prior to your first visit.

Fee per visit begin at $95 for individuals, $120 for couples/families. This feel shall be paid in full at the time of appointment (see above for Health Insurance information).Therapist reserves the right to increase the fee with reasonable notification (at least 30 days).
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Canceled/Missed Appointments:
A scheduled appointment means that time is reserved only for you. If an appointment is missed or canceled with less than 24 hours notice, the client will be billed according to the following schedule:

1st missed session without 24 hr notice: half of scheduled fee
Any session thereafter: full scheduled fee

If you miss your free session without 24 hr notice, you will be charged half of the scheduled fee for your first session, and the full scheduled fee for any session thereafter.

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Contact Aimee
(760) 803-3600
az@azgrowth.com


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Licensed Marriage & Family Therapist MFC43736 . Growth Oriented Healing © Aimee Zakrewski 2003 - 2010. All Rights Reserved