Reverb Studio

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Reverb Studio

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POLICIES & PROCEDURES - THERAPY SERVICES AND CLIENT RIGHTS &

Absences and Cancellations

At least twenty-four (24) hours advance notice is required for all cancellations or rescheduling needs. Unless deemed an emergency, you will be charged a $20 fee for all notices under 24-hours. The full fee will be charged for sessions missed without such notification.

Terms of Agreement:

This Agreement will become effective when the Acknowledgement and Consent Form is signed by both parties. Reverb Studio may terminate services with 30-days notice. All attempts will be made to give you the names of other qualified professionals. You have the right to terminate therapy at any time. Reverb Studio shall be entitled to full payment for services performed prior to the effective date of termination.

Rights and Responsibilities:

As a client of Reverb Studio, I understand that I have certain rights and responsibilities that will help ensure a successful therapeutic experience.

You Have the Right To:

  • Refuse and/or terminate treatment at any time. The only requirement is that you pay for any sessions you have already received.
  • A safe treatment setting, free from sexual, physical, and emotional abuse.
  • Ask for and receive information about my qualifications (e.g. certifications, education, training, experience, membership in professional groups, special areas of practice, and limits on practice).
  • Have written information, before entering therapy, about fees, confidentiality, method of payment, and cancellation policies. This is known as informed consent.
  • Request a second opinion.
  • File a complaint with the government or my professional association if you believe that you have been treated unethically.
  • Refuse to answer any questions or give any information you choose not to answer or give.
  • Share with me aspects of our session that you believe are helpful for you and which aspects are not.
  • Keep what you tell us private. Generally, information you reveal to me during treatment will be kept strictly confidential (understanding that any pertinent information relative to your care will  be documented in a Reverb Studio progress note record) and will not  be revealed without your written authorization. There are some situations  in which I am required by law to reveal things you tell me, even without your permission. These include:
    1. If you seriously threaten to harm another person, I       must warn that person and the authorities.
    2. If a court orders me to testify about you.
    3. If I have good reason to believe you are abusing, neglecting, or exploiting a child or vulnerable adult or if you give me information about someone else who is doing this, I must notify Child Protective Services or Adult Protective Services.
    4. If I believe you are in imminent danger of harming yourself, I may call the police, if all other options are exhausted.
    5. If a medical emergency requires me to disclose information.
    6. If you enter into litigation with Reverb Studio.
    7. If I believe you are intentionally spreading communicable diseases.

Your Responsibilities as a Client/Parent/Legal Guardian:

  • You are responsible for actively participating in our agreed upon treatment and making a commitment to your success, which includes honestly addressing and sharing your thoughts and feelings, even if it is uncomfortable or difficult, following through with homework, actively participating in the development of your goals, making sure your goals are understood, and being on time for your sessions.
  • You are responsible for keeping predetermined appointments and giving Reverb Studio at least twenty-four (24) hours notice of any cancellations or rescheduling needs. Otherwise, unless  deemed an emergency, you will be charged a $20 fee. The full fee will be charged      for sessions cancelled without such notification.
  • You, not your insurance company or any other person or company, are responsible for paying the fees we agree upon.
  • You are responsible for knowing how to contact me or other resources in case of any emergency.
  • You are responsible for maintaining confidentiality pertaining to group therapy, when applicable.
  • You are responsible for informing Reverb Studio of any address or phone number changes that arise.

Scheduling of sessions:

 Scheduling will be worked out between you and your primary therapist. Sessions will occur in the therapist’s studio, client’s home, via Telehealth platform, or some other pre-determined location. 

MT Payment:

  • Assessment session (onetime fee, not time limited. Includes development of therapy goals and treatment plan, and consultation with caregivers) = $90.00
    (please ask your therapist if this fee applies to you)
  • 30-minute therapy session = $45.00
  • 60-minute therapy session =   $85.00

We accept check, cash or credit card through Venmo or Zelle. You will be emailed an invoice at the end of the month for services rendered that month (e.g. an invoice for September sessions will be mailed at the end of September). Payment is due in full within 30 days. Unpaid balances over thirty days will be subject to a late payment fee of $20 a month.

Lessons Payment:

  • 30-minute music lesson = $35.00
  • 60-minute music lesson = $60.00

We accept check, cash or credit card through Venmo or Zelle. You will be emailed an invoice at the end of the month for services rendered that month (e.g. an invoice for September sessions will be mailed at the end of September). Payment is due in full within 30 days. Unpaid balances over thirty days will be subject to a late payment fee of $20 a month.

Terms Of Agreement

This Agreement will become effective when signed by both parties. Reverb Studio may terminate services with 30-days notice. All attempts will be made to give you the names of other qualified professionals. You have the right to terminate therapy at any time. Reverb Studio shall be entitled to full payment for services performed prior to the effective date of termination. My digital/electronic signature signifies that I have read, understood and agree to abide by the Policies and Procedures/Client Rights and Responsibilities laid out by Reverb Studio. I have discussed those points I did not understand, and have had my questions, if any, fully answered. I agree to comply with these policies. I authorize evaluation and/or music therapy treatment by Reverb Studio. I understand that this consent can be repealed in writing at any time during the treatment process. I acknowledge that I have received and/or know where to access a copy of this document.

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