Disclosure Statement

Thank you for deciding to seek therapy with Dr. Kristi Erickson.  The following information will help you understand many of the details of your therapy. 

You may call (650)208-1472 or email [email protected] regarding any  questions you may have (i.e.: billing, appointments, etc.).  After hours, leave a voice message with your contact information and you will be contacted the next business day.  In the meantime, you can view pertinent information on my website at kristiericksonphd.com.  

Sessions

Individual, couples and family sessions are typically scheduled for 50 minutes at a frequency to be determined by Dr. Erickson.

Cost of Treatment and Payment Policy

Dr. Erickson is an "in network" provider for CIGNA.  CIGNA insurance will be billed directly and you will be responsible for your regular copayment.  Dr. Erickson is an “out of network" provider for all other insurance plans.  You will be provided with a detailed statement to give to your insurance company for reimbursement.  The regular fee is $250.00 per 50 minute session.  Sliding scale fees are available based on demonstrated need.The client is responsible for payment in full at the time of each session via cash, debit card or credit card. 

Cancellations

Dr. Erickson requires cancellations or changes be made at lease 24-hours in advance.  A full session fee is charged for missed or cancelled appointments with less than a 24-hour notice.

Confidentiality

Contents of all therapy sessions are considered to be confidential.  Both verbal information and written records about a client cannot be shared with another party without the written consent of the client or the client’s legal guardian.  Noted exceptions are as follows:

Duty to Warn and Protect

When a client discloses intentions or a plan to harm another person, the mental health professional is required to warn the intended victim and report this information to legal authorities. In cases in which the client discloses or implies a plan for suicide, the mental health professional is required to notify legal authorities and make reasonable attempts to notify the family of the client.

Abuse of Children and Vulnerable Adults

If a client states or suggests that he or she is abusing a child/or vulnerable adult, or has recently abused a child or vulnerable adult, or a child or vulnerable adult is in danger of abuse, the mental health professional is required to report this information to the appropriate social service or legal authorities.

Prenatal Exposure to Controlled Substances

Mental Health care professionals are required to report admitted prenatal exposure to controlled substances that are potentially harmful.

Minors/Guardianship

Parents or legal guardians of non-emancipated minor clients have the right to access client’s records.

Insurance Providers (when applicable)

Insurance companies and other third-party payers are given information that they request regarding services to clients.  Information that may be requested includes but is not limited to types of services, dates/times of service, diagnosis, treatment plan, description of impairment, progress of therapy, case notes and summaries.