Practice Policies and Forms

The Policies and Consent to Treatment outline my practice policies as well as provides important information about the Confidentiality, Fees and Billing, and Telehealth services. Please review these policies prior to our initial appointment. We can adress any questions you have before I ask you to sign an Acknowledgment of Policies form.

The California Notice details the privacy practices my office maintains to protect the confidentiality of the information you share with me.

The Good Faith Estimate Notice informs existing and prospective clients of your right to a “Good Faith Estimate” to help estimate the expected charges you may be billed for services rendered.

California Board of Psychology Consumer Notice provides you with information about your rights as a consumer of mental health services.

© Raymond Buscemi 2018