Download Patient Intake Paperwork below

Patient Consents

Patient Intake

We are committed to providing high-quality psychiatric care with transparent pricing. We operate as an out-of-network provider, meaning payment is due at the time of service. However, we can provide you with a superbill that you may submit to your insurance for potential reimbursement.

Appointment Fees

Initial Psychiatric Assessment & Interview (60-75 minutes) – $425

Follow-Up & Medication Management (30 minutes) – $225

We accept payment via credit/debit cards, HSA/FSA accounts, and other secure payment methods.

New Client Services

Enrollment

For any new clients, we offer an initial no-cost, brief phone screen with our Practice Manager that can be conducted prior to scheduling the initial diagnostic evaluation session to determine the appropriateness of the referral question, likelihood of fit for our services, and to answer other questions. For many clients, this phone screen will not be necessary but remains an available service for anyone interested.

Prescription Services

Our provider is fully licensed to prescribe psychiatric medications, including controlled (scheduled) substances when clinically appropriate. All prescriptions are sent electronically to the pharmacy of your choice for your convenience.

Insurance

Emergence Treatment and Research does not accept insurance for outpatient services. This means you will pay the agreed-upon fee at the time of service with us and you will be provided with the documentation required by most insurance companies for reimbursement.

Most of our clients have insurance and many want to use it to cover some or most of the costs of treatment. Our clients often take advantage of filing with insurance as many managed care organizations (MCOs) allow for reimbursement of a percentage of fees for an “out-of-network” OON provider. Whether you choose to file for reimbursement with your insurance company is an individual decision.  We are happy to talk with you further about these issues upon request.

*Services reimbursed by insurance can vary. It is your responsibility to check with your individual policy as we are considered “Out of Network” providers.

Policies for new services

For all new clients and returning clients who have not been seen by a therapist at Emergence Treatment and Research for more than two (2) years at our practice, we conduct an initial diagnostic evaluation, charged at the rate of $425. This evaluation includes a clinical interview lasting 60-75 minutes

Policy for Ongoing Psychotherapy and Medication Management Services

Upon completion of your assessment, your provider will then determine if medication interventions are appropriate and how frequently they want to see you. Prescriptions will be sent electronically to your pharmacy of choice. The provider will send prescriptions to cover you until you are expected to return for a follow-up appointment. Providers will not send in refill requests for patients who fail to schedule their follow-up appointment.

Follow-up Psychotherapy and Medication Management Appointments are scheduled for 30 to 45 minutes are the cost is $225.

Other Fees:

Emergence Treatment and Research offer a prorated fee schedule, in 15-minute increments for additional time outside of intake or follow-up appointments maximum appointment time. This also includes any of the following:

  • Requested report writing, letters of opinion, or other documentation services not already included in assessment services

  • Phone Consultations with school or other professionals, longer than 10 minutes

  • Review of lengthy emails or correspondence provided by the client

These are charged at $50 per increment of time and patients are fully informed of this cost and expected time prior to the service so there is full transparency with financial costs.

Methods of Payment for Services

  • We accept cash, check, or credit card (Visa, MC, Discover, and Amex) as well as Debit cards and prepaid cards that are funded through Health Savings and Flex Spending accounts.

  • Our credit card processing is handled online through the secure Car Pointe Portal. Our office staff will reach out on the day of your appointment to process fees.

  • Any returned checks or late payments may be subject to a $35 fee. Noncompliance with payment terms may incur collections charges.

  • Any refunded credit card charges may be subject to a fee of 5% of the total transaction.

Cancellation Policy

To remain available for all our clients, we request that cancellations be made at least 24 hours in advance. Appointments that are not canceled in advance of 24 hours, and that are not due to a death in the family, illness, or emergency situations will incur the following charges:

  • 1st missed appointment will be charged at 50% of the rate of the missed appointment

  • 2nd missed appointment and thereafter will be charged at the full rate of the missed appointment

  • Cancellation charges will be applied and processed at your next appointment unless

payment is made online in advance.

If you have any questions about our services, pricing, or superbill process, please contact us at 404-491-1941 or anorris@emergencetr.com. We’re happy to help guide you through the process!