Emily Rosten, MSW, Ph.D., Licensed Psychologist

Counseling and Psychotherapy

Client Information

CLIENT INFORMATION

Therapy can help you examine and develop awareness about issues and patterns in your life, resolve problems, change behaviors, develop deeper and more honest relationships, and feel supported emotionally. But, therapy is work! Thinking about the things we discuss in sessions during the week, and making a mental, or written, agenda of things to talk about will help your treatment to progress more quickly. It is not unusual for clients to report an increase in sad or troubled feelings as they begin to confront their feelings and problems in new ways. This is normal and will be temporary, but its duration will depend on the depth of your emotional difficulties/distress.

If ever you have any doubts, concerns, or fears about our work together please bring them up to me. I need to know how you feel in order to be able to help. Also, if I am doing something that doesn't work for you, please let me know. I want to be as helpful to you as possible.

Your privacy is important to me. Client information is never shared without the written consent of the client, except as required by law, or in a potentially life threatening situation, in which case I will do whatever I feel is necessary for you or others to be safe. I do, of course, have to give information about you to your insurance company, if you wish to bill them for your treatment. If you are a member of a highly managed health care company, I may be expected to provide very detailed information about your situation and our work together. Please feel free to discuss any concerns you have about this release of information with me.

Please feel free to call me at anytime! While you are unlikely to reach me directly, I will call you back as soon as possible. I consider occasional calls a part of your therapy, and I want to be there for you when you need me. If I am unavailable in an emergency, call  911, and then call me and leave me a message so that I know what is happening and can get in touch with you as soon as possible.

I do have to charge for my services. Clients are responsible for payment of session costs, or insurance co-payments or deductibles. If your account has not been paid for 60 days and arrangements for payment have not been agreed upon, I have the option of using legal means to secure payment. This may involve my hiring a collections agency or going through small claims court. If this is necessary, collections costs will be included in the claim.

Just a reminder:
In signing the intake form, you agree the above and to the following:
Sessions are 50 minutes in length.
Payment or insurance co-payment is due at the time of the session.
If you are unable to keep a scheduled appointment, you must cancel 48 hours in advance or you will be responsible for payment in full for the session.
Most insurance companies will not pay for missed appointments!
hanks for your understanding!