Client Information
My fundamental objective is to provide you a therapeutic forum where heartfelt deliberations, soul searching, and “thanks I needed that” kind of accountability can unfold. In my attempts to provide you with the most therapeutic environment, allow me to address several important psychotherapy guidelines. Please discuss any of the following in your first sessions.
Office Appointments
Upon mutual agreement, time will be reserved for your therapy session. If you need to cancel or rearrange an appointment time, you are required to provide my office with 24 hours advance notice. Failure to provide 24 hours advance notice will result in you being charged for the full session. To schedule an appointment, you may contact me by telephone, or email.
John Jolliffe, LMFT, Jolliffe & Associates Inc.
Email – writeme@johnjolliffe.com
Office – 949-683-9553
Intake Form
(Please complete and Print before your first visit)
Telephone Appointments
As a result of my twelve plus years of experience with daily live radio-therapy, I have enlarged my practice to include telephone counseling/therapy. Clients who live or work in areas not conveniently served by my office or who travel on business, or for reasons of illness, or inclement weather may now choose the convenient option of scheduling a telephone appointment. These appointments are 50 minutes in length and the same fee applies. There are no additional telephone charges for these appointments.
Confidentiality
Legal and ethical responsibilities require your therapist to maintain the confidentiality of these private sessions. Therefore, no information will be released to another professional, agency, or individual, including members of your family without your signed & written consent. The only exception is in the case where you actually or potentially endanger yourself, another, and/or in the case of suspected child and elder abuse. In these cases the law requires your therapist share certain information with specific outside parties.
Length of Sessions
Sessions are 60 minutes in length.
Fees
Individual/Marital/Family sessions are 60 minutes. Payment is required at the end of each appointment. Cash, check or credit cards are accepted as payment. Psychological testing, if necessary, is an additional charge. Longer sessions are charged accordingly.
Insurance
Depending on your coverage, Medical Insurance will frequently cover at least part of the cost of certain psychotherapeutic modalities and psychological testing. If you wish to file an insurance claim with your health insurance provider, my office will provide you with a “super bill” that includes all the necessary information to assist you in filing your claim. Remember, in most cases, insurance companies will insist that you have a diagnosable condition in order to receive reimbursement.
Voice Mail or E-Mail
I am available by telephone on request by contacting my office. I do not provide therapy through email correspondence. Should an urgent situation arise that cannot wait until your next scheduled appointment, leave a message with my service or contact me through email indicating the nature of the urgency. All emergency calls will be returned as quickly as possible. All other calls will be returned by the close of business day. If you need immediate assistance, as in the case of all critical emergencies, dial 911.