

Create Mindful Moments
At Create Mindful Moments, we value your time, your growth, and the therapeutic process. The following policies are designed to create a consistent, respectful, and high-quality experience for every client.
By scheduling and attending services, you agree to the policies outlined below.
Your Appointment
Your session time is reserved exclusively for you.
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Sessions begin and end at the scheduled time
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Late arrivals will not extend the session time
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Full session fees apply regardless of arrival time
Consistent attendance is essential for progress and continuity of care.
Cancellations & Missed Appointments
We require a minimum of 24 hours’ notice to cancel or reschedule an appointment.
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Late cancellations (less than 24 hours): $100 fee
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Missed appointments (no-show): $100 fee
This policy is strictly enforced.
After three (3) late cancellations and/or no-shows, services may be discontinued.
Financial
Payment Policy
To ensure a seamless experience:
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A valid credit card on file is required for all clients
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Cards are automatically charged the evening of your session
For clients using insurance, your card will be charged for:
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Co-pays
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Co-insurance
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Deductibles
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Non-covered services
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Late cancellation or no-show fees
Failure to maintain an active payment method may result in paused services.
Account Balance
To maintain active care:
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Account balances may not exceed two (2) times your session fee.
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If this limit is reached, future sessions will be paused.
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Services will resume once the balance is brought current.
Example: If your session fee is $150, your balance cannot exceed $300.
Insurancce
Clients are responsible for understanding their insurance benefits.
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Coverage is not guaranteed by verification
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Any remaining balance is the client’s responsibility
Between-Session Communication
Communication outside of sessions is reserved for scheduling and administrative needs.
This practice does not provide 24/7 crisis services.
If you are experiencing an emergency, please call 911 or go to your nearest emergency room.

Confidentiality
Your privacy is a priority.
Confidentiality will be maintained except in situations required by law, including:
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Risk of harm to yourself or others
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Suspected abuse or neglect
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Court orders or legal requirements
Telehealth
For virtual sessions:
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You must be in a private, secure location.
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You must be physically located in a state where services are permitted.
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Technical difficulties do not waive session fees.
Continuity of Care
Services may be paused or discontinued if:
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Attendance policies are not maintained
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Account balances are not resolved
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Engagement in treatment is limited
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Clinical needs fall outside the scope of care
When appropriate, referrals will be provided to support your continued care.
Acknowledgment
By scheduling and attending services with Create Mindful Moments, you acknowledge and agree to these policies.
Thank you,
Dr. Maya Scarbrough, DSW, LISW-CP