Please remember to cancel or reschedule 24 hours in advance. You will be responsible for our late-cancel/no-show fee if cancellation is less than 24 hours, or for no-shows. If you have a paid package, you will lose one consultation from your package for late cancellations (within 24 hours) or no-shows. By agreeing to this policy, you authorize us to charge your card on file for this fee if you no-show or late cancel (less than 24 hours).

For virtual sessions, please do not join while driving a car or otherwise unsafe to hold a medical appointment. If you are unsafe to hold the session (i.e. driving), the session will be ended and our no-show policy will apply to your appointment.

The standard meeting time for initial consultations is 75 minutes, and follow-ups are 45 minutes. With longer packages, follow-ups are 30 minutes. However, you may request different appointment durations. Requests to change the length of your session must be discussed with the health care provider in order for time to be scheduled in advance.

Cancellations and re-scheduled sessions will be subject to the full fee if NOT RECEIVED AT LEAST 24 HOURS IN ADVANCE. This is necessary because a time commitment is made to you and is held exclusively for you. If you are late for a session, you may lose some of that session time.

We require a credit card on file for all appointments. Your card will be charged after your consultation if a fee applies. If we are billing your insurance, you will be charged any co-pay that you owe (if applicable) AFTER the claim processes. If your insurance denies coverage for your consultations, you will be charged for the remaining consultation fee. If you elect for any additional billable items such as labs, email coaching, or digital meal planning, those are also charged to the card on file, per your verbal consent. You will be provided with a receipt for all transactions. Current consultation fees (cash pay price) are $225 for initial and $135 for follow-up appointments, or the respective cost for the package you choose.

If you need to contact your dietitian between sessions, please send them a message in your patient portal. We are often not immediately available; however, we will attempt to return your message within 24 hours. Please note that face-to-face (video) virtual sessions are highly preferable to phone sessions. However, in the event that you are out of town or need additional support, phone sessions are available. If a true emergency situation arises, please call 911 or any local emergency room.

Due to the importance of your confidentiality and the importance of minimizing dual relationships, we do not accept friend or contact requests from current or former clients on any social networking site (Facebook, LinkedIn, etc). We believe that adding clients as friends or contacts on these sites can compromise your confidentiality and our respective privacy. It may also blur the boundaries of our therapeutic relationship. If you have questions about this, please bring them up when we meet and we can talk more about it.

We cannot ensure the confidentiality of any form of communication through electronic media, including text messages. If you prefer to communicate via email for issues regarding scheduling or cancellations, we will do so. While we may try to return messages in a timely manner, we cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies. Services by electronic means, including but not limited to telephone communication, the Internet, facsimile machines, and e-mail is considered telemedicine by the State of California. Under the California Telemedicine Act of 1996, telemedicine is broadly defined as the use of information technology to deliver medical services and information from one location to another. If you and your provider chose to use information technology for some or all of your treatment, you need to understand that:

• You retain the option to withhold or withdraw consent at any time without affecting the right to future care or treatment or risking the loss or withdrawal of any program benefits to which you would otherwise be entitled.
• All existing confidentiality protections are equally applicable.
• Your access to all medical information transmitted during a telemedicine consultation is guaranteed, and copies of this information are available for a reasonable fee.
• Dissemination of any of your identifiable images or information from the telemedicine interaction to researchers or other entities shall not occur without your consent.
• There are potential risks, consequences, and benefits of telemedicine. Potential benefits include, but are not limited to improved communication capabilities, providing convenient access to up-to-date information, consultations, support, reduced costs, improved quality, change in the conditions of practice, improved access to treatment, better continuity of care, and reduction of lost work time and travel costs. Effective treatment is often facilitated when the healthcare provider gathers within a session or a series of sessions, a multitude of observations, information, and experiences about the client. The provider may make assessments, diagnosis, and interventions based not only on direct verbal or auditory communications, written reports, and third person consultations, but also from direct visual and olfactory observations, information, and experiences. When using information technology in services, potential risks include, but are not limited to the provider’s inability to make visual and olfactory observations of clinically or therapeutically potentially relevant issues such as: your physical condition including deformities, apparent height and weight, body type, attractiveness relative to social and cultural norms or standards, gait and motor coordination, posture, work speed, any noteworthy mannerism or gestures, physical or medical conditions including bruises or injuries, basic grooming and hygiene including appropriateness of dress, eye contact (including any changes in the previously listed issues), sex, chronological and apparent age, ethnicity, facial and body language, and congruence of language and facial or bodily expression. Potential consequences thus include the provider not being aware of what he or she would consider important information, that you may not recognize as significant to present verbally to the provider.

If you are a minor, your parents may be legally entitled to some information about your treatment. I will discuss with you and your parents what information is appropriate for them to receive and which issues are more appropriately kept confidential.

The appropriate length of our work together depends on the length and intensity of our treatment plan. I may terminate treatment after appropriate discussion with you and a termination process if I determine that the treatment is not being effectively used or if you are in default on payment. I will not terminate the therapeutic relationship without first discussing and exploring the reasons and purpose of terminating. If treatment is terminated for any reason or you request another provider, I will provide you with a list of qualified dietitians to treat you. You may also choose someone on your own or from another referral source.