Dr. Carrington's Practice Policies
CONFIDENTIALITY: Confidentiality is extremely important in your treatment. I will not reveal that you are in treatment with me, or the contents of this treatment, without your written permission. The only exception is if someone’s safety is at risk. At times, I may professionally consult with a colleague (a “supervisor”) in order to provide you with the very best care that I can; my supervisor is also bound to keep any information disclosed confidential.

LETTERS/STATEMENT OF TREATMENT: If a letter regarding your treatment is needed for an employer, school, or other institution, please discuss the specifics with me, as such information is medically confidential, and not always appropriate to share with outside parties.

SESSION FORMAT: All appointments are understood and expected to be FACE TO FACE: either in-person or through a virtual session. Phone sessions are not a substitute and only allowed when there are extenuating circumstances (i.e. physical illness or breakdown in transport).

COMMUNICATION BETWEEN SESSIONS: Phone or email is fine if you need to reach me between sessions. Brief communications (ex. about scheduling) may be by text or email but please be aware that these methods of communication are not 100% secure, and confidentially cannot be ensured. Please do not include any sensitive information in electronic communication. Additionally, any urgent or emergent communications should be by phone only, as this is the most reliable and confidential way to reach me. In the event of a life-threatening emergency, please call 911 or go to the nearest emergency room, and from there ask the doctor to contact me.

FEES:
 Phone consultation- FREE
 60 minute Initial Psychiatric Evaluation- $450
 45 minute psychotherapy sessions: $325
 30 minute medication management sessions: $225
 I do not participate in insurance coverage. I am an “out of network” provider. Although I may not participate in insurance plans, I am happy to provide all of the documentation you need to submit to your insurance company so you can be reimbursed if you have out of network coverage.
** It is often helpful to call your insurance company and ask them what your “out of network” coverage is, including your deductible as well as out-of- pocket maximum. The codes I tend to bill include 90792 for the initial evaluation, 99213 + 90836 for psychotherapy, and 99214 + 90833 for psychopharmacology.

BILLING: Payment is expected at the end of each session, through cash, check or credit card. Please note that a 2.8% fee applies with credit card payment. If an invoice is sent, a 3% processing fee applies. You will be given a receipt with all of the information that will allow for submission to your insurance company. I understand that issues may arise that could delay payment (see below), please discuss these issues with me during your treatment.

FINANCIAL CONSIDERATIONS FOR PAYMENT: I do not offer sliding scale arrangements, however if absolutely unable to provide payment at the end of each session, partial payments through invoicing can be arranged. This is on a case by case basis, and only a temporary arrangement. Client will agree to pay a specific amount each week until the remaining balance is resolved. I do not ever want cost to become a treatment obstacle. If your financial circumstances are in question, I am more than happy to discuss and help with transition of care to a more affordable provider.

CANCELLATION: Due to limited availability, I require 48 hours notice of cancellation. I am happy to try to reschedule. If you cancel with less than 48 hrs notice, your account will be billed for half of the session fee for the missed appointment. With less than 24hrs or NO notice (aka “no show”), you will be billed for the full amount of the missed session. Please note that “no show” sessions cannot be submitted to your insurance provider for reimbursement.

MEDICAL ASPECTS OF TREATMENT: Psychiatry is a medical specialty. If I prescribe you medications, there may be occasional requests for bloodwork and/or EKG. I may also request to communicate with your other treatment providers (PCP, cardiologist, etc) in the interests of properly coordinating your care and monitoring your overall health.

HIGHER LEVEL OF CARE: Depending on the individual and presenting concerns, there may come a need to transition to a higher level of care such as a hospital, intensive outpatient treatment center, substance rehabilitation program, or to a specialist with expertise outside of my clinical range. Should such a need arise, this will be addressed with the client, and the client agrees to accept my professional recommendation.

SUBPOENAS & COURT INVOLVEMENT: This contract is an agreement between the interested parties that no outside party shall attempt to obtain my testimony or medical records for a deposition or court hearing of any kind, for any reason. In the case that I am subpoenaed for in-person testimony and/or sequestration of medical records, I require an advance of a $3,000 retainer per day, as well as additional $500 per hour for any document preparation.

Hospital affiliation: I maintain affiliation with the following hospitals:
Bellevue Hospital Center – CPEP Attending
NYU School of Medicine - Clinical Faculty in the Dept. of Psychiatry

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