Insurance Coverage and Fees *
Psychotherapy services are not covered by O.H.I.P., but are often partially or fully covered by extended insurance plans. Coverage plans differ, so please check with yours regarding coverage and claim procedures (e.g., whether or not a letter or referral from your physician is required, details required on receipts, etc.)..
We are not covered under Registered Psychologists, only Registered Psychotherapists.
Please note that Manulife does not cover Chanderbhan Counselling Services.
Referrals need only state, “I refer (client name) for psychological consultation or assessment.”
Payment for services is due at the beginning or end of each session and a receipt will be given when payment is received. Please retain this receipt for your insurance or income tax claims, if applicable. Fees vary according to the time, therapist and nature of the service involved. Your fee will be discussed with you during the intake interview and you will be provided with reasonable notice beforehand if any changes are made to the fee. Fees may be paid by cash, cheque, VISA or Master Card. A surcharge of $25.00 will apply to all N.S.F. cheques. A late payment fee of 2% per month will be added if payment is not received after 30 days of the date of service. Outstanding accounts of more than 60 days will be eligible for submission for collection.
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Confidentiality is respected at all times. No information will be communicated, directly or indirectly, to a third party without your informed and written consent. Exceptions to confidentiality include the legal and/or ethical obligations to:
• Inform a potential victim of violence of a client’s intention to harm
• Inform an appropriate family member, health care professional, or police if necessary of a client’s intention to end his or her life
• Release a client’s file if there is a court order to do so
• Inform the Children’s Aid Society if there is suspicion of a child being at risk or in need of protection due to neglect, or physical, sexual, or emotional abuse
• Report a health professional who has sexually abused a client
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Privacy of Personal Information *
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In case of emergency & Satisfaction Policy
In Case of an Emergency
Emergency services are not available. In the case of an emergency, clients should dial 911, contact their Family Practitioner, or go to the Emergency Department of any hospital.
At CCS we understand that creating a strong therapeutic alliance is essential for successful therapy. With this in mind, if you do not feel connected to your assigned therapist, please inform our intake department (Ext. 1) or Dharshini Chanderbhan (Ext. 2) about your concerns and they will gladly connect you with another therapist that will meet your needs.
Informed consent *
By checking the box below this confirms that:
I have read and understood the information presented in this document, and hereby consent to counselling, coaching and/or psychotherapy treatment