Agreement to Treatment

Catalyst Therapeutic Services, PLLC offers psychiatry and psychotherapy services to children, adolescents, adults, and families.

The psychotherapy that you and/or your child will receive will work toward goals of desirable changes in functioning. Psychotherapy has risks and benefits. Minimal risks include discussing unpleasant aspects of one’s life and potentially experiencing uncomfortable feelings, such as sadness, anxiety, anger, and/or helplessness. Potential benefits include positive changes in individual and family functioning, better relationships, solutions to problems, and significant reductions in feelings of distress and/or specific symptoms. If treatment with medication is indicated, the risks and benefits of each individual proposed medication will be discussed at the time of initial prescription.

The first, and possibly second and third, meetings will consist of an assessment of your/your child’s needs. By the end of the assessment period, a clinical diagnosis and treatment plan will be discussed. A specific plan for psychotherapy and/or medication monitoring will need to be mutually agreed upon. For patients less than 18yo, please ensure that a parent or legal guardian is available for the duration of the appointment in case the provider needs your participation. Parent/ legal guardian must be present and attend initial appointment for the minor. For in-person appointment of minor, parent/ legal guardian is expected to remain in the waiting room, and for virtual appointments, parent/ legal guardian is expected to be at the same physical address as the minor. Accommodations around these expectations may be discussed with your provider after initial appointment.

The services with Catalyst Therapeutic Services, PLLC may be considered out - of - network for your insurance company. You will be provided with a receipt of service with adequate information to submit to your insurance company for out - of - network reimbursement. If the provider is considered in - network with your insurance company, you may still be responsible for co - pay, co-insurance, or deductible payment. The fees (in - network payments or out - of - network fees) are due at the time of service. The fee schedule is presented below, unless other arrangements have been made: 

•    For those participating in Duke Student Insurance, you are only responsible for your co - payment at the time of service (typically $10 per visit).

•    For non - participating insurance plans: 

Appointments with Dr. Landry, Dr. Taylor, Dr. Robison, Dr. Pogash, and Dr. Wehmann:

- Psychiatric evaluation (60-90 minutes) - $400
- 45-50 minute return appointment - $275
- 25 minute return appointment - $200

Appointments with Dr. Raney, Karen Kuebler, LCMHC, Barbara Hodapp, LCSW, and Deepa Bhatt-Mackin, LCMHC:
- Initial evaluation (60-90 minutes) - $250
- 45-50 minute return appointment - $200
- 60 minute return appointment - $225

•    Coordination of care - $50
At times, offering the best service means that Catalyst providers will communicate/ provide external facing documents (camp forms, letters) with other providers outside Catalyst, insurance companies, or schools. While brief phone calls will not be charged, communication/ requests taking longer than 15 minutes will be billed at the above rate in 15 minute increments.

Returned check fee - $25

There is an expectation of 24 hour notice provided prior for cancellation of a scheduled appointment. Failure to cancel with 24 hours notice can result in the patient being charged the full fee for that missed session. Each patient is allowed one grace late cancellation/no show each calendar year without being charged the full fee for the appointment. Insurance will not pay this fee. The provider reserves the right to waive this fee in the case of unforeseen circumstances.

Routine follow-up appointments are an essential part of effective outpatient care. I understand that to be considered an active patient of Catalyst Therapeutic Services, I/my child must attend routine follow up appointments at intervals to be determined based on my clinical situation. I also understand that if I/ my child have/has not been seen for 12 months or more, my/ my child’s chart may be closed and I/my child may no longer be considered an active patient of Catalyst Therapeutic Services. After this point, a new evaluation may be required to resume treatment.

Confidentiality is further described in the HIPAA notice of privacy practices, of which you will be offered a copy. In summary, the confidentiality of information obtained during the assessment and therapy sessions will be guarded except where prescribed by law. Possible legal exceptions to confidentiality may occur if necessary to protect individuals from child abuse or neglect, or in cases of potential harm to self or others. In such cases, confidentiality would only be broken to protect individuals from significant harm or death.

If you and/or your child are working with multiple providers in the agency, this serves as consent for these providers to communicate regarding treatment in order to coordinate care.

For concerns that arise when the office is closed, you are welcome to call the office number for your provider. Providers receive notice whenever a call is made. If your provider is not immediately available, please leave a message and your provider will return your call as soon as possible. However, if you are experiencing a life-threatening emergency, please call 911

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