Clinic Policy

Enhancing Your Counseling Experience

At Revive Christian Counseling and Consulting, we believe in excellence. We want you to experience the best care possible. The following is a statement of our Clinic Policy, designed to enhance your experience. This policy applies to all our counseling services. Insurance, and the Good Faith Estimate portions of our clinic policy do not apply to consulting services. All other policies apply to both counseling and consulting services.

Client Registration

After scheduling your initial appointment, your therapist will send you an individual link to an online portal. It is important to complete your paperwork before you arrive to your first appointment. If you have questions regarding your paperwork, please reach out to your individual therapist.

Client Reminders

Our therapists use automated reminders as a courtesy. However, you are responsible for writing down your appointment time and making it to the appointment, regardless of receiving the reminder. If the you do not receive a reminder for a scheduled appointment, it is recommended to reach out to your individual therapist. If you do not wish to receive automated reminders, you can inform your individual therapist or change the settings on your online portal.

Missed Appointments

A missed appointment is a scheduled appointment in which you do not show and do not provide at least 24-hour notice prior to your scheduled appointment time. You will be responsible for the entirety of the session cost for a missed appointment unless otherwise determined by the therapist. You will not be charged for a missed appointment if it is a weather-related cancellation.

Late Arrival to Appointments

Because counseling is based on 45-60 minute time slots, it is important to arrive on time to your appointment. It is unlikely your therapist will be able to allow you to make up the time you missed if you are late to your appointment. It is also possible clients using insurance may be required to pay a fee for late arrivals. Please let your therapist know if you are running late to your appointment.

Waiting Room Etiquette

We do not have a receptionist at Revive Christian Counseling and Consulting, which means you will make yourself comfortable in the waiting room until your therapist comes out to get you for your appointment. Your therapist will work to be on time to each appointment, but please text or call your individual therapist if he or she is not in the waiting room fifteen minutes after your scheduled appointment. Please be respectful of others working in session by remaining quiet in the waiting room while you enjoy complimentary refreshments.

Children

We love children at Revive Christian Counseling and Consulting; however, children are not to be left unattended in any part of our facilities. It is the parent or guardian’s responsibility to keep all children quiet while others are receiving services. The parent or guardian is also responsible for any damage done to Revive Christian Counseling and Consulting’s property or property owned by other’s in the building in which we lease. Nursing infants are always welcome to join moms in session, but mom is responsible for taking care of baby and understanding the distractions possible in the session. We recommend using childcare whenever possible.

Payment Procedures

Therapists accept cash, check, credit card, or HSA/FSA cards. Therapists are responsible for their own billing and may choose to charge an additional fee to use a card. If choosing to pay with cash, exact change may be required. A $50.00 fee will be charged for all checks returned due to insufficient funds. Your therapist will also offer an Auto Pay option on their client portal. Payment is expected at the time of each session. The therapist reserves the right to terminate treatment until payment is made.

Sickness Policy

Each of our therapists are seeing clients in-person and virtually. Our office does not require vaccinations or masks to enter our office. However, if you or a member of your household is sick, please notify your therapist and your appointment will be moved to virtual or rescheduled for the safety of the therapists and other clients.
It is also important for you to be aware that Katie MacDougall, LPC has a chronic illness that may impact her availability and ability to conduct sessions under certain circumstances. The following aims to inform you of these potential limitations and to seek your understanding and cooperation.

Appointment Cancellations: Due to her chronic illness, there might be times when Katie MacDougall, LPC needs to cancel or reschedule appointments on short notice. This is to ensure their well-being and ability to provide effective therapy over the long-term.
Limited Availability: Katie MacDougall's chronic illness might result in her having limited availability for sessions. She will strive to communicate her availability clearly and work with you to find suitable appointment times. However, if your schedule changes for some reason, she may not be able to accommodate that change.
Immunocompromised Status: Due to being immunocompromised, Katie MacDougall, LPC cannot be around sickness of any kind. If you are feeling unwell, please inform her as soon as possible to reschedule your appointment or schedule via Telehealth. (There will not be a cancelation fee for sickness-related cancelations.)
Supplemental Oxygen: At times Katie MacDougall, LPC will be using supplemental oxygen during session. As a result, no smoking or vaping of any kind can be used in session and it is appreciated if perfumes, aerosol sprays, and/or other strongly scented items are not used immediately before or during session.

HIPAA Policy

Your Information. Your Rights. Our Responsibilities.

 This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.  

Your Rights

You have the right to:

Get a copy of your paper or electronic medical record
Correct your paper or electronic medical record
Request confidential communication
Ask us to limit the information we share
Get a list of those with whom we’ve shared your information
Get a copy of this privacy notice
Choose someone to act for you
File a complaint if you believe your privacy rights have been violated

Your Choices 

You have some choices in the way that we use and share information as we:

Tell family and friends about your condition
Provide disaster relief
Include you in a hospital directory
Provide mental health care
Market our services and sell your information
Raise funds

Our Uses and Disclosures 

We may use and share your information as we:

Treat you
Run our organization
Bill for your services
Help with public health and safety issues
Do research
Comply with the law
Respond to organ and tissue donation requests
Work with a medical examiner or funeral director
Address workers’ compensation, law enforcement, and other government requests
Respond to lawsuits and legal actions

Your Rights

 When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.  

Get an electronic or paper copy of your medical record

You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.

Get a list of those with whom we’ve shared information

You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

You can complain if you feel we have violated your rights by contacting us using the information on page 1.You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
We will not retaliate against you for filing a complaint.

Your Choices 

For certain health information, you can tell us your choices about what we share.

If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

 In these cases, you have both the right and choice to tell us to:

Share information with your family, close friends, or others involved in your care
Share information in a disaster relief situation
Include your information in a hospital directory

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.  

In these cases we never share your information unless you give us written permission:

Marketing purposes
Sale of your information
Most sharing of psychotherapy notes

In these cases we never share your information unless you give us written permission:

We may contact you for fundraising efforts, but you can tell us not to contact you again.

Our Uses and Disclosures  

How do we typically use or share your health information?

We typically use or share your health information in the following ways.  

Treat you 

We can use your health information and share it with other professionals who are treating you. 

Example: A doctor treating you for an injury asks another doctor about your overall health condition.  

Run our organization

 We can use and share your health information to run our practice, improve your care, and contact you when necessary.  

Example: We use health information about you to manage your treatment and services.

Bill for your services 

We can use and share your health information to bill and get payment from health plans or other entities.

Example: We give information about you to your health insurance plan so it will pay for your services.

How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.  

Help with public health and safety issues

We can share health information about you for certain situations such as:

Preventing disease
Helping with product recalls
Reporting adverse reactions to medications
Reporting suspected abuse, neglect, or domestic violence
Preventing or reducing a serious threat to anyone’s health or safety

Do research 

We can use or share your information for health research.  

Comply with the law

 We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

Respond to organ and tissue donation requests 

We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

 We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address workers’ compensation, law enforcement, and other government requests

 We can use or share health information about you:

For workers’ compensation claims
For law enforcement purposes or with a law enforcement official
With health oversight agencies for activities authorized by law
For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions

We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information.
We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
We must follow the duties and privacy practices described in this notice and give you a copy of it.
We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.

Insurance Coverage

None of our therapists at Revive Christian Counseling and Consulting currently accept insurance. Your therapist may give you a statement of reimbursement (superbill) to submit to your insurance. However, there is no guarantee your insurance will reimburse you. By scheduling with a therapist that does not take your insurance, you are choosing to use self-pay in the event that your health insurance does not reimburse you for treatment. The responsibility of your insurance reimbursing you is not the responsibility of the therapist.

Good Faith Estimate

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises or call 1-877-751-2972

Animal-Assisted Therapy

A therapist in the office that is not part of Revive Christian Counseling and Consulting has a dog he uses to incorporate in his psychotherapy work. Numerous studies show that interacting with animals helps people lower their blood pressure, increases engagement, and reduces anxiety/depression. This content outlines the risks and rules needed to ensure your health and safety (as well as the dog's) as we work together. Alexander is currently the only dog and he is primarily working with a sister group called Covenant Counseling and Coaching.

 Although working with canines in a therapeutic setting has many benefits, there are risks associated with the intervention. Because we use a live animal, it is important to note in advance the policies and procedures needed to maximize the intervention and ensure safety.

Please report any fear of dogs to your therapist prior to coming in the office so the proper precautionary measures can be taken, if any.
Although Alexander will remain current on his vaccinations and health screenings, there is always a slight risk of zoonotic disease transmission (i.e., sharing of diseases between animal and humans) when working with an animal.
Although every effort will be made to cut and file Alexander’s nails, scratching may occur while physically interacting with the dog.
Please be aware that Alexander sometimes plays or shows affection by licking or nibbling, which may result in oral contact from the dog. Although, therapists and coaches will make every effort to monitor and control this, there is a risk for light biting and licking.
Dogs use their body to communicate and may brush against or lean into a person. Other body language such as tail wagging or body wiggling may also occur.
Although every effort will be made to cut and file Alexander’s nails, scratching may occur while physically interacting with the dog.
Clients will promptly report all accidents and/or injuries incurred while in the office to his or her therapist or coach. Clients may also contact Covenant Counseling and Coaching directly at 405-820-4965.
Should injury occur, your therapist will work with Covenant Counseling and Coaching to respond accordingly and take proper action to help the client get the appropriate medical care.
Do not feed Alexander or give him anything unapproved by your therapist.
Wash your hands before and after handling Alexander.

Court Appearances

Clients are discouraged from having the therapist subpoenaed. Though the client's attorney, who initiates the subpoena request is responsible for the court appearance and testimony fees, it does not mean that the therapist's testimony will be solely in the client's favor. The Therapist will only testify their professional opinion (if required) and to the facts required of the case. The therapist will only respond to a subpoena from a judge.

It is a requirement that you are provided those fees prior to your first therapy session.

The following fees apply for court appearances:

 Preparation time (including submission of records) $400/hour
Phone calls $400/hour
Depositions $400/hour
 Email or written letters $400/hour
 Time required in giving testimony $400/hour
Travel time per 15 miles $100  
Time away from office due to depositions or testimony $400/hour
Filing a document with the court $400 (Plus court fees)
The minimum charge for a court appearance $5000

Any and all legal fees and costs incurred by the therapist as a result of the legal action.

Please Note: A non-refundable retainer of $1500 is due in advance. If a subpoena or notice to meet attorney(s) is received without a minimum of 14 days’ notice notice there will be an additional $450 “express” charge. If the case is reset with notice of less than 72 business-hours, the client will be charged $1,000 (in addition to the retainer of $1500).

All fees are doubled if the therapist has to postpone or interrupt plans to go out of town.

Do you still have questions?

Contact Us - Revive Christian Counseling & Consulting, Edmond, Oklahoma

Please don't hesitate to contact us should you have any concerns. We are committed to addressing each of your inquiries and are keenly prepared to provide you with all the essential information you require before getting started.