Fees, Appointments & Policies
Hourly rates apply to initial sessions, psychotherapy, in-person or telephone consultations, record review, school visits, report writing, and consultation with other professionals.
There is a two-hour minimum for school visits.
Intake appointments are typically 90 minutes. When we are unable to schedule a 90 minute opening, we will often schedule either a 45 or 60 minute session. Most therapy sessions are 45 minutes, although we frequently see clients for 60 minutes, depending on need and availability.
Dr. Shane Perrault
45 minutes $150
• Empowering Adhd Parents (EAdhdP) requires a 24 hour notice of cancellation for all services.
• Assessment appointments must be canceled at least 2 business days in advance. Cancellations made less than 48 hour advance notice will result in a charge of $150.
• Payment for services is due in full at the time services are provided.
• Payment can be made by check, cash, or credit card (Visa, MasterCard, Discover, or American Express).
Insurance Coverage for Services:
EAdhdP does not accept direct insurance. However, we provide invoices that you can submit to your insurance company an apply for reimbursement through “out of network” coverage. It is the responsibility of the client to communicate directly with his or her insurance company regarding coverage or reimbursement issues
We will provide monthly invoices which reflect all charges and payments. These statements will provide the information needed for you to be reimbursed. While these statements are generally provided monthly, in most cases you can request one after your visit.
Please note that if the person paying for services is not the identified client and the identified client is over the age of 18, then we must have the identified client’s signature giving the center permission to discuss billing information with the person making payment. If we do not have a signature on file we cannot send statements to anyone but the identified client.
Office Open Hours
We are open 12 AM – 7 PM, Monday – Friday; and on Saturday by appointment.
What to Bring to Your First Appointment
Copies of records (Medical/Psychological/School/Employment) Report cards, test scores, test reports or any other records pertinent to ADHD or learning disabilities are very helpful to us in making an accurate assessment. Please only bring photocopies of these reports rather than original copies. We want to guard against the possibility of losing your original copies.
Credit card, Check or Cash: we accept payments by cash, check or charge. We keep credit card information on file for each client in the event there is an outstanding balance.
If you prefer to complete the Intake forms at the clinic, please be sure to arrive at least 20 minutes in advance of your appointment time.
What Happens During Your First Appointment?
Depending upon the age of the child we may see the parents alone, the child alone, or may divide the first assessment session between parents and child. Your first appointment will typically be a 60 or 90 minute clinical interview, during which we will ask you many questions about your current concerns, as well as about your child’s developmental, academic and psychological history.
We will also ask about family history as it is relevant to your child.
Completing the intake questionnaire and sending it to us in advance of your initial appointment will facilitate the assessment process, allowing us to develop recommendations and begin treatment with your child right away.
The first consultation will be a 60 or 90-minute clinical interview in which we will ask you about your current concerns, your reason for scheduling a consultation, and your family, educational and employment history. In many cases it is necessary to continue this interview process for a second appointment, which would be scheduled at the time of your first visit.
Often, we will ask you to complete questionnaires following your initial consultation. We will review your responses to these questionnaires and discuss them with you at your second appointment.
Testing is not automatically part of the assessment process for ADHD in adults.
Diagnosis of ADHD is typically made through an extended clinical interview and the completion of ADHD questionnaires. If we believe that testing is desirable, such as in the case of suspected learning disabilities (which very commonly co-occur with ADHD) or when there are questions about diagnosis or co-existing conditions, we will discuss that with you during your initial clinical interview.
The following information describes how psychological and medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. This information is part of required compliance with the Health Insurance Portability and Accountability Act (HIPAA).
Uses and disclosures for treatment, payment and health care operations:
The EAdhdP may use or disclose your protected health information (PHI) for treatment, payment and health care operations purposes only with your written authorization.
Other uses and disclosures requiring authorization:
EAdhdP may use or disclose PHI for other purposes when your appropriate authorization is obtained. For your own protection, we cannot accept verbal authorization for release of information.
You may revoke all authorizations at any time, provided each revocation is in writing. You may not revoke an authorization to the extent that we have relied on that authorization.
Uses and disclosures without authorization:
EAdhdP may use or disclose PHI without your consent or authorization in the following circumstances:
• Child abuse — If any EAdhdP clinician has reason to believe that a child has been subjected to abuse or neglect, they must, by law, report this belief to the appropriate authorities.
• Abuse of dependent adult — Any EAdhdP clinician may disclose protected health information if they reasonably believe that you are a victim or perpetrator of abuse, neglect, or exploitation of a dependent adult.
• Health oversight activities — Any EAdhdP clinician receives a subpoena from any professional Board of Examiners investigating this practice; your clinician must disclose any PHI requested by the Board.
• Judicial and administrative proceedings — If you are involved in a court proceeding and a request is made for information about your diagnosis and treatment or the records thereof, such information is privileged under state law. EAdhdP will not release information without your written authorization or a court order.
• Serious threat to health or safety — If you communicate to your EAdhdP clinician a specific threat of imminent harm against yourself or another individual, or if your clinician believes that there is clear, imminent risk of physical or mental injury being inflicted, your clinician may make disclosures necessary to protect you or that individual from harm.
• Competent health care practice — If you are a licensed health care provider and a therapist believes that you are unable to practice competently, or pose a danger to your patients/clients due to substance abuse and/or emotional disturbance.
*Note: The privacy privilege does not apply when you are being evaluated by a third party or where the evaluation is court-ordered. You will be informed of this in advance if this is the case. Your PHI might also be required to be disclosed in legal proceedings where the judge believes that confidential information is necessary to the proper administration of justice; in legal proceedings where a client’s mental status is at issue; in legal proceedings requesting information on therapy sessions that took place in a family or couples session.
Client’s rights and clinician’s duties:
Right to request restrictions — You have the right to request restrictions on certain uses and disclosures of protected health information. However, we are not required to agree to a restriction you request.
Right to inspect and copy — You have the right to inspect or obtain a copy (or both) of PHI in our mental health and billing records used to make decisions about you for as long as the PHI is maintained in the record. We may deny your access to PHI under certain circumstances, but in some cases you may have this decision reviewed. You have the right to inspect or obtain a copy (or both) of psychotherapy notes unless we believe the disclosure of the record will be injurious to your health. On your request, we will discuss with you the details of the request and denial process for both PHI and psychotherapy notes.
Right to amend — You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. We may deny your request. If you make such a request, we will discuss with you the details of the amendment process.
Right to an accounting — You generally have the right to receive an accounting of disclosures of PHI. On your request, your EAdhdP clinician will discuss with you the details of the accounting process.
Right to a paper copy — You have the right to obtain a paper copy of the notice from EAdhdP, even if you have agreed to receive the notice electronically.
If you are concerned that any referred professional associated with the EAdhdP has violated your privacy rights, or you disagree with a decision that has been made regarding access to your records, you may contact:
Empowering ADHD Parents
6411 Ivy Lane, Suite 402
Greenbelt, MD 20770