Mailing / Billing Address:
Po Box 514
Santa Cruz, CA 95061
Office Phone:
831-471-5044
david.resnikoff.lcsw@gmail.com
Fees and Services: My fee for professional service(s) is $125.00 per session. The intake assessment is charged at $150.00 per session. I provide individual and family psychotherapy focused on the assessment, diagnosis, and treatment of mental health and substance use disorders in the mild to moderate range. Activities requiring clinician’s time outside of regular office visits are billed based on the pro-rated hourly fee.
Cancelations: You will be charged a fee of $25.00 for missed sessions or those canceled without at least 24-hours notice. Note: Insurance/Healthcare Plans will not reimburse for late or canceled sessions.
Insurance: I am a Medicare Part B Mental Health Provider and accept assignment. For All other insurances and health plans I am an Out of Network Provider. I do not participate in any Medicare Advantage Plans. As an Out of Network Provider you are financially responsible for payment for services provided. I will collect payment in full and then provide you with an invoice that you may use to seek reimbursement from your insurance company. Ultimately you are responsible for any and all deductibles, co-pays, co-insurances, and or fees not covered or paid for in a timely manner by your insurance plan or plans.
Confidentiality: Your attendance, participation, and what you say in therapy is confidential except: when you give written permission to release information, when your records are subpoenaed for legal reasons, when reporting is required or allowed by law (mandated reporting of suspected child and elder abuse, danger to self/danger to others), or other exceptions outlined in my Notice of Privacy Practices.
Outside of Session Availability: I have limited availability by phone and return phone calls within 48 hours. I may be reached by email or txt but I do not conduct therapy or treatment electronically. Email and txt communication is not private or confidential. I may ask that you schedule an office or telephone appointment to discuss a clinical issue. I check and respond to email at least once per week.
In an Emergency: If the emergency is life threatening or there is imminent risk of harm call 911. The following resources may also be helpful: Suicide Prevention Services of the Central Coast 831-458-5300, County of Santa Cruz Mental Health Dept. 800-952-2335, National Suicide Prevention Hotline 800-273-8255
Ongoing and Ending Treatment: Services are provided by scheduled appointment. It is the responsibility of the client to schedule and maintain their appointments. You may choose to end your participation in treatment at any time. At least one session or final phone call is requested for closure. If I don’t hear from you for a considerable time, I will close your case file. If you need a type of service or a level of care that I do not provide we will make a plan for ending and transfer.
Disclaimers: It is understood that any agreements made are between you and I only. I cannot be responsible for the care provided by other therapists/healthcare professionals/groups/or community resources that I may refer you to.
Privacy Policy and Notices: By signing below, you acknowledge receiving a copy of my Notice of Privacy Practices. The Notice of Privacy Practices provides information about how I may use and disclose your private health information. Please read it carefully. My Notices are subject to change. Updates will be posted to my website which can be accessed at any time. Please review my website (http://davidresnikofflcsw.blogspot.com) for more information about my practice including the Financial Policy and Information for Clients.
