Self Symmetry: Therapy/Office Policies

Jillian Chesley, MFC 46156
Individual, Child, Couple, Family and Group Therapy/Coaching

PAYMENT FOR SERVICE: Clients are expected to pay for services at the time they are rendered unless other arrangements have been made. Please notify me if any problem arises during the course of your therapy regarding your ability to make timely payment.

CANCELLATION: Since the scheduling of an appointment involves the reservation of time specifically for you, a minimum of 24 hours notice is required for rescheduling or cancellation of an appointment. The full fee will be charged for missed sessions without such notification. If possible, I will reschedule a session during that week without charging for the missed appointment.

CONFIDENTIALITY: All information disclosed within sessions is confidential and may not be revealed to anyone without written permission, except where disclosure is required by law. Disclosure may be required in the following circumstances: where there is a reasonable suspicion of child or elder abuse; where there is a reasonable suspicion that the client presents a danger of violence to others or where the client is likely to harm him / herself unless protective measures are taken. Disclosure may also be required pursuant to a legal proceeding.

EMERGENCY PROCEDURE: If you need to contact your therapist between sessions, please leave a message at (831) 331-0081 for Jillian. I will return your call. If an emergency situation arises and I am unavailable, call the local Crisis Number at: