Payment:  I will request that patients pay in full by cash or check at the time of their visit

and seek reimbursement at their convenience. I will be only work with ppo insurances, and will be happy to provide patients with a bill that they can submit to their insurance company if they choose.  I will include the necessary information on your bill such that you can seek reimbursement for out of network benefits from your insurer. Insurance usually reimburses 50-75% of the charge, but some insurances offer no out-of-network benefits. Please check with your insurer prior to the first appointment to clarify your benefits. 



Fees: New Patient Intake: Initial Evaluation (80 minutes) $ 350.00, Psychotherapy- with or without medication management (50 minutes) $ 200.00,  Follow up visits (50 minutes) $200, Medication management with or without brief psychotherapy (30 minutes) $ 150.00 

**I do not ordinarily charge for brief or periodic phone calls with outside collaterals, but if these efforts are necessary on an extended or ongoing basis or require longer periods of time then I will bill at my full rates.



E-mail Communication:  E-mail contact is via kesslerintegralwellness@gmail.com. Please be aware that e-mail should be used for administrative matters such as appointment rescheduling or prescription refills only and is not to be used for urgent or emergency matters. I generally check email at least once daily during the work week. Remember that email communications are not necessarily secure and therefore clinical information should not be shared via email. 



Telephone Communication:  Routine contact is via telephone voice mail at (207) 536-8511. I check this voice mail periodically during normal business hours. 



Emergencies: Please be advised that my practice is not oriented to emergency care. For true clinical emergencies please call 911 or your local emergency room. In the event of an urgent (non-emergent) matter, which can not wait until the next business day, current patients may reach me at (207) 536-8511. 



Prescription refills: Please leave me a voicemail with your full name, date of birth, medication name, dose and pharmacy name and phone number with at least two business days notice for medication refills.  You can also send this information via email but it will not be privacy protected in that manner and should be considered by the patient before you choose to use email for this information. 



Release of Information: Your information will be protected under HIPPA guidelines to the best of my abilities.  Please note that your records will not be shared and I will not have contact with collateral sources unless you give written permission.  In the case of an emergency, as stated under HIPPA statutes private information can be shared in certain circumstances.  A more detailed document clarifying these policies will be given at the first visit.  If patients request their own records a summary of assessment and treatment will be provided upon request.  



Cancellation Policy:  You are responsible for keeping all appointments or canceling them with two business days notice. This includes initial appointments as well.  If you have an appointment on a Monday and need to cancel, this must be done on a Thursday in order to avoid a fee.  You will be charged the full cost of any appointments missed with the exception of emergencies.

POLICIES

22 FREE STREET, SUITE 207               PORTLAND, ME, 04101            207-536-8511 p / 888-974-0335 f

Dr. Katherine Kessler, D.O.

Integral Wellness Psychiatry

Please fill out both forms within 3 days of making your initial appointment and email or fax back to me.  I will hold the time for the appointment during that time.  If I don’t receive the information within a week, I will open the appointment time back to other patients.  Thanks for your consideration.


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