Select to download some of the most commonly used forms:

Insurance

I am not currently in network with any insurance provider. However, some services may be covered in part by out-of-network benefits provided by your health insurance or employee benefit plan. In this case, I am happy to provide you with a statement that you can submit to your insurance company. Please check your insurance company about holistic practices such as Yoga, Reiki and others.

Reduced Fee 

Reduced fee services are available on a limited basis.

Payment 

Cash, check or credit card payments are accepted.

Cancellation Policy 

If you do not show up for your scheduled yoga therapy appointment, and you have not notified us at least 24 hours in advance, you will be required to pay 100% of the session.

Technology

Our work might be exclusively online. I use Zoom and you must be informed that email, text, and other electronic means of communication might not meet the standards for privacy and confidentiality established under the Health Insurance Portability and Accountability Act (HIPPA rule 104-91).

Emergencies and Absences/Vacation

Although I check my messages frequently, I do not provide 24-hour emergency crisis services. If you are unable to reach me and feel that you can't wait for me to return your call, contact your mental health practitioner, family physician or the nearest emergency room. If you are unable to contact me and it is a true emergency, call 911 or go to the nearest emergency room.

Limits of Confidentiality

You have the right to have your personal information protected from any public exposure so that you can be ensure privacy and the protection of confidentiality. A client’s confidentiality cannot and will not be protected:

  • if a client threatens bodily harm to self or others

  • if there is indication of child abuse

  • if I am subpoenaed to testify in court