1. Claudia Paretilla of Right Brain Psychology is your treating "psychologist" responsible for your care, you are "the client" (yourself or the child or adolescent you are organising services for), and Changes Psychology is the admin and billing service "provider" that is only responsible for processing clients' bookings, billing and client administration only on behalf of your treating psychologist. By signing this agreement you are agreeing to the provision of services under this arrangement
3. Your treating psychologist will not provide information, reports or documentation for medico-legal (i.e. Cognitive assessments) or family court related purposes (i.e. no custody reports) unless required to by law, under a subpoena or by a court order.
4. Parenting plans - if there is a parenting plan in place we require the parent or person engaging the treatment to meet all requirements of the plan, it is not our responsibility to share information with other parents or stakeholders.
5. Information sharing - If you would like the psychologist to share and collect information about your child with your ex-partner/teacher/OT etc, we need written consent from you to approve this sharing of information with each individual. Moreover, if you intend to claim rebates from Medicare or another organisation is paying for the services, then your psychologist must provide summary reports to the referring GP, Paediatrician, Psychiatrist or external agencies regarding you/your child’s treatment progress in order to be able to give back Medicare rebates and meet the legal obligations of this funding. By agreeing to these terms and conditions you agree to this information sharing policy.
6. Cancellation Policy - If you cancel a booked session with less than 24 hours notice, you will be charged a $100 non refundable cancellation fee for your session.
7. The session fees are $190 per 50 minute session and charged in 15 minute increments beyond one hour. Payment for sessions needs to be received via the provider's online NAB payment system which collects and stores your card details securely with NAB (staff do not have access to card information once submitted to NAB to ensure security of your card details). You will pay a $50 deposit before your first session that will be credit towards your first session fee. Payment of the remaining session amount needs to be paid before Medicare rebates or Private Health Invoices are processed for you.
8. Please note the following limits to confidentiality due to the legalities around duty of care for mental health practitioner in the event of an emergency, immediate risk of harm, or if it is mentioned in session that somebody else is in serious risk of harm. In these cases, our duty of care is to call your emergency contact or the relevant services to protect the well being of yourself or the person mentioned. By agreeing to these terms and conditions
you therefore, acknowledge and accept these terms.
9. I have read and understand the above Consent Form and policies described above. I agree to these conditions for the psychological service provided by the treating psychologist. I certify that the information I have provided is true. I understand that where full liability for psychological services is not accepted by TAC, Workcover, VOCAT, NDIS or similar authority that I am responsible for the payment of outstanding fees.