Cancellation Policy

Confidentiality: Your verbal communication and clinical records are strictly confidential except for: a) information shared with consultants b) information (diagnosis and dates of service) shared with your insurance to process your claims, c) information you report about physical or sexual abuse; then by Oregon State Law, I am obligated to report this to the Department of Children and Family Services, d) where you sign a release of information (ROI) to have specific information shared and e) if you provide information that informs me that you are in danger of harming yourself or others, f) information necessary for case supervision or consultation, g)as a licensed associate working under supervision I work under my supervisors Dr. Lisa Schulz, LPC, NCC, ACS and make full disclosure to her when necessary for case supervision, h) or when required by law. E-mail, text messages, and social networking sites are not confidential and do not meet HIPAA requirements to protect your privacy, so be aware when you share private info. Cancellations:  I request at least 24 hours advance notice if you must cancel an appointment. Sessions canceled within 24 hours of the appointment will be charged 100% of the session fee. A no-call/no-show (includes last-minute cancellations within the hour prior to our appointment, unless it is an emergency) or failure to arrive within 15 minutes of the start of a scheduled appointment will be considered a forfeit of the appointment and will result in a full session fee being charged. Three (3) cancellations or two (2) no-shows in a row will be taken as a forfeit of their reserved time with me. I love my clients, respect their time and money, and ask the same from them. Referrals: If, for any reason, I am unable to meet your therapeutic support or assessment needs, and we feel that a referral is needed, I will be happy to provide that for you. You will then be responsible for choosing and contacting the alternative you prefer. As a client of an Oregon licensee, you have the following rights: To expect that a licensee has met the qualifications of training and experience required by state law; To examine public records maintained by the Board and to have the Board confirm the credentials of a licensee; To obtain a copy of the Code of Ethics (Oregon Administrative Rules 833-100); To report complaints to the Board; ·         To be informed of the cost of professional services before receiving the services.

Contact Details

• Oregon, USA

  503-386-0787

  sarahjurrens@rebelliouswetherapy.com

• Washington, USA

  503-386-0787

  sarahjurrens@rebelliouswetherapy.com