I make every effort to start and end sessions on time, out of respect for our time and the time of the next patient.

Your discussions with me are protected by law, and are held to be confidential. By signing below, you demonstrate understanding that under the privacy component of the Health Insurance Portability and Accountability Act (HIPAA), your protected health information will only be used/disclosed strictly for treatment purposes (i.e. laboratory testing request forms, reminding you of appointments, etc...) or health care operations such as payment billing.

Since I do not choose to interrupt sessions to answer the telephone, your call will usually be answered by my voicemail system. Please leave the number at which you wish to be reached even if you think I have it because I may answer calls away from my office.  I make every effort to answer all calls promptly. Telephone calls are usually returned by the next business day at the latest.

My office hours are indicated on this website.  If you have an emergency outside of these hours, please send a text message to  my personal cell phone number that is mentioned in my outgoing voice mail when you call my office.  Please note that I do not interrupt sessions to answer the cellular phone either and that there may be intervals as long as 4 hours on my time off when I will be unavailable because of exercise or other commitments.

There will be no charge for cancellation of sessions if I am given at least 48 hours notice.  Charges for sessions that are cancelled too late will be placed on your credit card. I also do not charge for unavoidable absences even if there is no notice, although I reserve the right to change this policy for patients with whom cancellations become a problem.

In rare cases, phone conversations whether with you, or other parties on your behalf that require substantial time will be charged according to the  hourly rate.

Payment is to be made at the time of each session. I am not a MediCal or Medicare provider, nor do I belong to any Preferred Provider panels for insurance companies, as I do not choose to subject our treatment decisions to review by third parties who may not have the best interests of my patients at heart.  Clients are responsible for completing insurance forms and obtaining reimbursements for payments made. Payment is accepted by check, cash or credit card.

Outside of session, I prefer to answer all medical questions by phone. Please call and leave a message. I always return calls by end of the next business day at the latest. In rare cases if you don’t hear from me before then, please call again and leave a second message as your initial message may have not been recorded properly.  

Email is reserved for non-emergent issues, non clinical administrative issues only.  I check my email as infrequently as once every 7 days.

Please use my website for scheduling and medication refill request purposes. You can make appointments and cancel appointments on this website.  If you need to be seen urgently and I have no immediate openings, please call me and leave a message. For medication refills, please call your pharmacy to send me a refill request and I will refill your medications within 48 hours. If you are out of medications sooner than that, please call my office and leave a voice message.

Please understand that if you choose to utilize email for communication, the privacy component of the Health Insurance Portability and Accountability Act (HIPAA) requires your understanding that your protected health information is transmitted via a non secure electronic email service.

Thank You Very Much for Your Cooperation