EMDR Solutions

Robin Shapiro, M.S.W., L.I.C.S.W.


Client Information

Appointments

Appointments are necessary for all sessions. I am available for emergency phone appointments. Emergency therapy appointments are dependent on schedule availability.

Contact me

at 206-527-0693. I check my messages at least two times each day Monday through Friday. If you are having an emergency, please call my answering service at 425-608-3357. They will try to contact me. It may be several hours before I can return your call. You can call the Crisis Clinic at 206-361-2222 if I cannot be reached. When I am out of town, another therapist will be be available through my answering service.

Cancellations

You must give at least 24 hours advance notice for cancellations. I charge full fee for missed appointments. If I can accommodate a last minute change of schedule, I will. Otherwise, you will be charged if you cancel less than 24 hours in advance of the session.

Fees

There is a charge for all scheduled appointments and all phone calls longer than 5 minutes. The current rate is $140 per 60-minute session, unless otherwise arranged. For sessions longer than 60 minutes, I will charge $2.33 per minute. Full payment is expected at each session, unless otherwise arranged.

Insurance billing

Direct billing to your insurance company may be arranged. You are responsible for your co-payment at each session. You are responsible for all fees declined by your insurance company, unless otherwise arranged. You will not be responsible for a higher fee than I have negotiated with your insurance company.

Privacy Practices

Your heath record contains personal information about you and your health. State and federal law protects the confidentiality of this information. "Protected health information" (PHI) is information about you that may identify and that relates to your past, present, or future physical or mental heath or condition and related health care services.

Your Rights Regarding Your Personal Health Information

You have the following rights regarding PHI that I maintain about you:

  • To Inspect and Copy PHI that may be used to make decisions about your care. I may charge a reasonable fee for copies.
  • To Amend the PHI which is incomplete or incorrect. You may ask me to amend the information, thought I am not required to agree to the amendment.
  • To Request a copy of the required accounting of disclosures that I make of your PHI.
  • To Request Restrictions or limitations of the use of your PHI for treatment, payment or health care operations. I'm not required to agree to your request.
  • To Request Confidential Communication in a certain way or at a certain location. I will accommodate requests as well as I am able and not ask why you are making the request.
  • To Have a copy of this notice.
  • To File a Complaint with me or with the Secretary of Health and Human Services if you believe I have violated your privacy rights. I will not retaliate with you for filing a complaint.

Confidentiality

As a client, you have a right to privacy. Generally, our discussions, clinical assessments, and records thereof are held as confidential communication. Written notes are secured in a locked file. Requests for acknowledgment of your participation or process in therapy will only be released with your informed and signed consent and only after discussion with you. You may revoke your authorization at any time. There are, however, limits to confidentiality, guided by law and by clinical ethics.

  1. In instances that the client or another person is in a life-threatening situation, I must report to an appropriate authority in order to protect the person at risk.
  2. If a client has reported physically or sexually abusing a minor, an elder, or a developmentally disabled person of any age, I am required by law to report such abuse to state authorities. If clear current threat of such abuse is present, I will take action to protect the individuals involved from additional abuse.
  3. If a client is gravely disabled due to a mental disorder and a threat to himself/herself or others and if that client refuses a recommendation of voluntary residential treatment, I will arrange for assessment by the State Mental Health Professional team. If a client is an imminent threat to self or others, I may contact the police.
  4. If you file suit against me or you have committed a crime on my premises or against me, you have waived your rights to privacy.
  5. I may disclose your personal health information if it is required by law. Examples are public health report notices and law enforcement reports. I also must make disclosures to the secretary of the Department of Health and Human Services for the purpose of investigating or determing my compliance with the requirements of the Privacy Rule.
  6. I may discuss you and your clinical situation with consultants in order to find the best way to assist you. In these cases I will not disclose your name, place of work, or other cues to your identity.
  7. I may use and disclose your PHI for the purpose of providing, coordinating, or managing your health care treatment and any related services. This may incluse cordination or management of your health care with a third party, consultation with other health care providers or referral to another provider for health care services. I will not use your PHI to obtain payment for your health care services without your written authorization. Examples of payment-related activities are: making a determination of eligibility or coverage for incurance benefits, processing claims with your insurance company, reviewing services provided to you to determine "medical necessity", or undertaking utilization review actiivities.
  8. I may use or disclose, as needed, your PHI in order to support the business activities of my professional practice. Such disclosures could be to others for health care education, or to provide planning, quality assurance, peer review, administrative, legal, or financial servis to assist the delivery of health care, provided I have a written contract requiring the recipients of the information to safeguard the privacy of you PHI. I may also conact to discuss appoinment times or as arranged in a session.
  9. If you believe that I have violated your privacy rights, you may file a complaint in writing to me, Robin Shapiro LICSW, 843 NE 66th Street, Seattle, WA 98115. 206-527-0693. I will not retaliate against you for filing a complaint. You can choose to file a complaint with the Secrectary of the Department of Health and Human Services and direct that complaint to him or her.

Confidentiality and insurance

Almost all insurance that pays for mental health benefits requires periodic progress and process reports that become part of your permanent medical record. Minimally, a diagnosis is required. Often, goals of therapy and progress towards these goals are required to be reported. If you sign the standard insurance waiver of confidentiality, I, the therapist, must report whatever information that your insurance company requests of me.

Online Communication

You may change appointments with me at my email, but please send no personal or clinical information online, since email is not a secure medium. If you send email from your employer's computer, your employer has legal access to it. Cell phones and cordless phones are not completely confidential, either.

I never "friend" current or former clients on LinkedIn, Facebook, or any other social media.

Declining my services

I, the therapist, reserve the right to decline delivery of services and provide referral, if I assess that the continuance of therapy will be detrimental to the client or, in good faith, I feel that I am not adequately serving the client's best interests. I reserve the right to decline the delivery of services to clients arriving at sessions intoxicated or "high" on alcohol or non-prescribed drugs and to decline subsequent services if this behavior continues. I reserve the right to expect non-exploitive and non-threatening treatment by the client, to seek resolution and, if necessary to decline services and seek appropriate intervention should exploitive treatment occur.