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.
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
*First
session is free. 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
11777 Sorrento Valley Road, Suite 220 (second floor)
San Diego, CA 92121
Call
today for an appointment (760) 803-3600
or
email for information.
DIRECTIONS:
From
5 South:
1. Take 5S to the new byway towards
Carmel Mountain Road
2. Make a RIGHT onto Carmel Mountain Road
3. Make a LEFT onto Sorrento Valley Road
4. It is about two blocks up on your LEFT.
From
5 North:
1. Take 5N to Sorrento Valley
Road
2. Go over the train tracks and make a LEFT at the intersection
onto Sorrento Valley Road
3. Go past the train station and it will be about two miles up
on your RIGHT.
*or
take the new exit*
1.
Take 5N to the new byway (towards the 56)
2. Get
off at the Carmel Mountain Road Exit
3. Make a LEFT onto Carmel Mountain Road
4. Go to the end and make a LEFT onto Sorrento Valley Road. The
building is one block up on your LEFT.
From
805 North:
1. Take 805N to Sorrento Valley
Road
2.
Turn RIGHT onto Sorrento Valley Road
3. Go about five miles - you will pass the train station and then
it will be about two
miles up on your RIGHT.
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. The
building is one block up on your LEFT.
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For
all of these directions look for the yellow steps. There will
also be a red/white sign on the road for the MMA ACADEMY and Martial
Arts. Pull into the parking area by the Martial Arts sign and
enter in the front of the building.
FEES
First session
is always free: same 24-hour notice agreement
applies.
For
Individuals:
starting at $95 per hourly session (therapy hour between 50-55
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:
starting at $120 per hourly session
starting at $180 per 1.5 hour session
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).
-----------------------------------------------------------------------------------------
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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