Common Questions
Confidentiality/Privacy Practices
In general, all information shared between you and your therapist is confidential: no information may be shared with anyone without your written permission. For example, you may want your therapist to consult with other members of your healthcare team.
There are a few exceptions when state law requires a therapist to disclose confidential information to appropriate agencies. These circumstances are detailed in the “Informed Consent to Treatment” found in the “Paperwork and Forms” section of this website.
Disclosure may be legally required when:
(1) A therapist has a reasonable suspicion of emotional abuse, physical abuse, sexual abuse, or neglect of a child, elderly person, or disabled person. In the case of suspected abuse, a therapist is legally mandated to file a report with the appropriate state agency. (2) A therapist judges that a patient presents a danger of violence to others. In this case, a therapist is required to take protective actions. (3) A therapist believes that a patient is likely to harm herself or himself unless protective measures are taken. In this case, a therapist may be obligated to seek hospitalization for the client or to contact family members or others who can help provide protection. (4) Disclosure may also be required pursuant to legal proceedings, such as when a judge issues a court order requesting confidential information. If such a situation were to arise, the therapist will make a reasonable effort to communicate with you regarding these concerns.
Rates & Insurance
Rates
$200 per 50-minute session
Insurance
People pay me directly. I can give you a receipt or superbill that you can submit to your insurance to try to get reimbursed.
Reduced Fee
Reduced fee services are available on a limited basis.
Payment
Payment is due at time of service.
Cancellation Policy
If you do not show up for your scheduled therapy appointment, and you have not notified us at least 24 hours in advance, you will be required to pay the full cost of the session.
Contact
Questions? Please contact me for further information.
Paperwork for New Clients
If you're a new client, please complete the following forms and bring them to your first therapy session.
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Contact Me
Please contact me to ask any questions or schedule an appointment. You can use the contact form below, or you can call me at (650) 814-8685 or email me at dslosslcsw@gmail.com. I look forward to speaking with you soon.
