OFFICE INFORMATION & FEES

Sally Jordan Austin, M.A.

Psychotherapist
Marriage and Family Therpist

Telephone: (310) 968 3035
sjaustin4therapy@aol.com


OFFICE INFORMATION

Office is located at:
26110 Alizia Canyon Dr, Unit C, Calabasas, CA 91302.
Telephone: (310) 968 3035

In office & telephone sessions are available.

Driving Directions To Office

Informed Consent to Treatment

Office Policy & Information 		FEES

Fees are $120 per session.

50 minute sessions provided for individual and child treatment.

Couples and family sessions usually require 90 minute sessions.
Fee for these sessions is $150-$180, sliding scale.


 For those with insurance that will pay for an out of network provider than you may be able to be reinburst for part of your fee.

CONTACT & OFFICE INFORMATION

Telephone: (310) 968 3035

Email: sjaustin4therapy@aol.com

Office in Calabasas, CA

Telephone consultations also available

Licensed Marriage and Family Therapist. MFC 45057

Informed Consent
(This following information will be presented to you at the beginning of treatment, as a form that you will be invited to sign)

All information that you share in therapy will be held in the strict confidence however there are certain exceptions to confidentiality. State law requires that therapists report incidents of child abuse, elder abuse, potential danger to self ( threatened suicide) or threats of physical harm to others.

Your fee will be agreed upon prior to the commencement of of therapy, however please be informed that fees are subject to increases and sufficient prior notice will be provided when fee changes occur.

24 hrs notice is required for cancellation of appointment or full fee will be charged.

Emergency contact: I can usually be reached in case of crisis and emergency between sessions and will try to return your call as soon as possible. However I do not provide 24 hr emergency coverage and so in the event that your crisis is immediate or life-threatening, then you would need to call 911 or go to an emergency room. My availability during my vacations will be discussed prior to my absence.

If you have any questions about the above information than please discuss them.

Client Signature:
Date:

Office Policy Information
(This following is information about the office environment, presented to you at the beginning of treatment, that you will also be asked to sign)

Client's attending their first session will often have a longer session due to intake information and forms that need to be signed.

The Calabasas office is a home-based office environment. At the time of your consultation it is used exclusively for your appointment and is private, ensuring your confidentiality. i.e. there is no one else in my home at the the time of your appointment.

There is no waiting room area at this location so please ensure that you arrive no earlier than the time of your appointment. Your appointment (individual sessions) will end after 50 minutes, to ensure sufficient time between client's departure and arrival.

Due to time constraints if you are paying by check please write your check out prior to your appointment, thank you.

Payment can be received in cash, check or credit card. Please make checks payable to Sally Jordan Austin.

Please be informed that I do have a cat in my home and although she won't be interacting with you, there may be cat dander in this environment.

Please be informed that you are responsible for your own physical safety on both the driveways and walkways of the apartment complex and on entrance ways and stairways in my office.

If you have any questions or problems with the above information than please feel free to discuss this with your therapist.

Client signature:
Date:
Copyright ©2010 by Sally Jordan Austin.