Practice Policies

General Information

Two Chairs currently only provides consultation & matching, psychotherapy, group therapy, and other mental health services. Our role is to help you identify appropriate care, recommend a provider that we think may be a good fit for you, and provide ongoing care. If we determine that a different type of care is most appropriate, we may make a referral to a clinician outside of Two Chairs.

If you have any questions about this notice, need more information, or would like a copy of this notice, please contact: [email protected]

Appointments and Cancellations

The standard meeting time for our consultations is 45 minutes. Therapy sessions typically last 50 minutes.

Please remember to cancel or reschedule 48 hours in advance. You will be responsible for the entire fee if cancellation is less than 48 hours before the start of the appointment.

Notifications can be sent via e-mail to [email protected] or via phone at 415-202-5159 (9:00 am - 6:00 pm, Monday through Friday) for consults, or directly to your clinician's individual e-mail for ongoing therapy appointments. You will be responsible for the entire consult appointment fee if cancellation or a request to reschedule occurs fewer than 48 hours before the start of the appointment.

In order to hold your slot and ensure the continuity needed for high-quality care, we allow a maximum of 4 missed appointments (advanced cancellations and/or no shows) every 6 months (January - June; July - December). After 4 cancellations, your clinician will work with you to find a solution if a different time slot would work better for you.

Payment

Payment is due at the time of the appointment. We will automatically charge the credit card number you provide to us once the session has concluded.

Our Promise

If you’re not satisfied in any way with your consultation appointment with us, then it’s on us. Please email [email protected] if you don’t feel like our clinicians and care coordination team are helping you get to the care you deserve. We will promptly issue you a refund for the cost of the consult appointment with a Two Chairs clinician.

Matching

We strive to make high quality matches between our patients and our clinicians & services, but we cannot guarantee that a particular clinician or service will be a good match for you. Therefore, after we’ve made a match, we will follow up with you to ensure that you’re satisfied and that ongoing treatment is going well (often in the form of an online questionnaire).

If we refer you to a non-Two Chairs provider, we will also follow up with you to ensure that you’re satisfied and that ongoing treatment is off to a good start. We may also follow up with you at the conclusion of your treatment. You are under no obligation to respond to these follow-ups, but we would appreciate your feedback so that we can continue to improve our matching system. We will also follow-up with the clinician to get his or her view of how the match worked out, unless you request that we not do so. Our goal is to continuously try to improve our services by getting feedback from our clients and the practitioners in our community.

Insurance Reimbursement

Two Chairs is not in-network with any health plans. We therefore require direct payment from our clients. However, we work with a third-party provider to offer to file paperwork with your health plan to request reimbursement for the cost of care if your health plan includes out-of-network coverage (common with PPO plans, for example) on your behalf. We cannot guarantee that we will be able to get you reimbursed for any of the cost of a session.

Our care coordination team can also speak with you about your health plan coverage and try to answer any questions that you have. But ultimately, only your insurance company can determine how much you will be reimbursed for her services.

Confidentiality

The session content and all relevant materials to the client’s treatment will be held confidential unless the client requests in writing to have all or portions of such content released to a specifically named person/persons. Limitations of such client held privilege of confidentiality exist and are itemized below:

  1. If a client threatens or attempts to commit suicide or otherwise conducts him/her self in a manner in which there is a substantial risk of the client incurring serious bodily harm.
  2. If a client threatens grave bodily harm or death to another person.
  3. If the therapist has a reasonable suspicion that a client or other named victim is the perpetrator, observer of, or actual victim of physical, emotional or sexual abuse of children under the age of 18 years.
  4. Suspicions as stated above in the case of an elderly person (65 or over) or a dependent adult who may be subjected to physical, emotional, financial, or sexual abuse, or isolation (“dependent adults” are persons ages 18 – 64 who have physical or mental limitations that restrict their ability to carry out normal activities or protect their rights).
  5. Suspected neglect of the parties named in items #3 and # 4.
  6. If a court of law issues a legitimate subpoena for information stated on the subpoena.
  7. If a client is in therapy or being treated by us by order of a court of law, or if information is obtained from us for the purpose of rendering an expert’s report to an attorney who represents you.

Digital Communication

We will use digital forms of communication with you (unless you would prefer an alternate means of communication), including text message, email, and our online client portals. Please know however that we cannot ensure the confidentiality of any form of communication through electronic media, including text messages.

Our care coordination team will seek to return messages in a timely manner, but we cannot guarantee an immediate response. We request that you do not use these methods of communication to request assistance for emergencies. You should instead seek appropriate emergency services.

These practice policies were last modified on May 21, 2019