|
The following are some terms of service that
you can expect as client of Kevin Stafford. During a first appointment you will
be provided with a written copy of these terms and asked to read them and then
sign as indication that you have read, understood and are in agreement to the
terms of service.
Fees
My full fee is $100.00 per hour. My services are GST exempt.
Cancellations require 24 hours notice.
The full
fee will be billed for all missed appointments. Canceled appointments are billed
at half the hourly rate with exception to weather, illness or emergency.
Cheques
returned with insufficient funds are subject to a 15.00 fee from my bank.
Home
visits:
A
minimum half hour travel time is billed for all out of office appointments.
Reports:
Statements of sessions attended are provided at no fee. All other letters,
reports, and written summaries are billed. A general billing rule is $100.00 per
page.
Telephone
sessions and consultations are billed at the full fee on a pro rata basis.
Telephone Calls, Voice Mail
and Appointments
I am
available by telephone for consultation. Unless otherwise agreed, I charge for
telephone consultation time. I am not always available for emergency or
crisis consultation.
I do
not charge for calls to change or re-organize appointments. My voice mail
is confidential and available for you to leave a message 24 hours per day.
While I make every attempt to return your call within 24 hours, I am not always
able to do so. I generally do not return calls over the weekend.
Office Space
My office
is connected to my home. The entrance, bathroom, and therapy space is
designated for the exclusive use of clients and confidential clinical work.
While every effort is made to reduce sound travel from the living space above
into the office space below, this is not always possible. Should this at anytime
become a concern for you, please let me know.
Parental Consent and Custody
In
situations where parents have joint custody, or where there is no custodial
agreement, both parents are required to provide written consent for child(ren)
children under the age of 12 to attend therapy.
Pagers & Cell Phones
Please
turn off all pagers and cell phones during session.
Consultation
One of
the ways that I stay accountable to you for the work that I do with you and help
ensure that I am providing you with good service is by consulting with other
therapists. All my consultations are done anonymously. Names of therapists
with whom I am currently consulting will be provided to you upon request. You
have the right to request that no consultations of any kind take place.
Feedback, Concerns and Complaints
I am open
to any feedback, concerns or complaints that you may have about the service you
have been receiving. I am bound by and accountable to a code of conduct and
ethical practice as set forth by the American Association for Marriage and
Family Therapy (AAMFT). A copy of this code of ethics is available upon request.
Should you have concerns about my professionalism or ethical practice you may
contact AAMFT directly in writing or by phone: AAMFT,
1133 15th
Street, NW Suite 300,
Washington,
DC 20005-2710. (202) 452-0109.
|