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Rates, Forms & Policies

Rates

For clients using insurance, rates vary depending on your insurance plan. Please call us for an estimate of your cost and to see if your insurance is accepted by our provider. All rates are for 60 minute sessions. 

For self-pay clients, our out-of-pocket rate is $120 per session with sliding scale options for financial hardship.

Forms

It is your right as a client to have access to your therapists's Disclosure Statement as well as a Notice of Privacy Practices: 

 

Eli Galvan Therapist Disclosure Statement

HIPAA Notice of Privacy Practices

Cancellation/Missed Appointment Policy

It is very important to us to run an ethical business. We do everything in our power to prevent having to charge cancellation fees. We offer multiple methods of appointment reminders, as well as accessible business hours (9 am-8pm) if scheduling issues arise. Your comfort and stress levels are very important to us, and we will try to work with you as much as possible to avoid cancellation fees. That being said, we are a small business and we appreciate your consideration and courtesy when canceling or rescheduling appointments. 

• If you are unable to attend your appointment, please notify Local Realism immediately via telephone or email. 

• Local Realism requires 24 hours notice to cancel your appointment. 

• Cancellation calls are taken between 9 am and 8 pm PST Sunday-Thursday. Sunday appointments must be canceled by 5 pm on the previous Thursday. 

• If you cancel or miss your appointment with less than 24 hours notice, you will receive one “free pass”. After your one free pass, a cancellation fee of $90 will be charged to your card on file. Please note that insurance does not cover cancellation fees. If we can find an alternative appointment time for you in the same week, we will not charge a cancellation fee. 

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