Frequently Asked Questions

Please do not hesitate to contact us if you cannot find an answer to your question.

I want to get the most out of therapy. What can I do to help?

I am so glad you are dedicated to getting the most from your sessions. Your active participation and dedication is crucial to your success. Most sessions with our clients are scheduled weekly. It is the very skills learned from therapy, combined with your efforts outside of our sessions, that will truly help you realize personal growth and development.

How long will it take?

Unfortunately, this is not possible to say. Each client has circumstances that are unique to them and their personal story. Research does support that weekly sessions are the most effective at the onset of treatment in order to maximize the therapeutic benefit and develop momentum towards your goals.

Do you have a cancellation policy?

We understand everyone has unexpected changes to their schedules and unforeseen circumstances arise. Please provide advance notice of at least 24 hours, we will reschedule your session as soon as possible. Unfortunately, without timely notice, clients will be charged for missed/cancelled sessions.

Do you accept insurance?

This is a common question and we understand that this can be an important decision when seeking a healthcare provider. With regard to insurance companies, we do not directly bill. We can assist you with regard to insurance reimbursement for out-of-network psychological services. The reason that our practice does not directly bill is that we value the privacy and confidentiality of our clients. Most are unaware when mental health providers invoice insurance companies, they are required to list a diagnosis as a reason for your visit. We believe to divulge this kind of personal information to insurance companies in order to receive reimbursement is not in the best interest of our clients. Our clients have the option to determine whether they want to share this type of information with their insurance companies. Last, many insurance companies dictate the duration and type of treatment that fits into your health benefit package, which is not always best for clients. We are a fee-for-service psychological services practice and prefer to dedicate our time and attention to our clients rather than spending time and resources negotiating with insurance companies.

How much will it cost?

For counseling to be effective, it requires a commitment of both time and finances. We can help to make this possible in a couple of ways. We are able to take credit/debit cards as well as Health Savings Account cards. We can also advise you on how to obtain insurance reimbursement for out-of-network mental health services. In general, session fees range from $75-$200 based on therapist education, training and years of experience.

Good Faith Estimate

One of the most important principles for us at KCT Rehabilitation Services is to practice Psychology transparently with regard to both the services we provide and the costs associated with those services. We are a fee-for-service mental and behavioral health care practice. For individuals with healthcare coverage we are considered an out-of-network provider. We fully comply with the federal “No Surprises Act” enacted in 2022.

Compliance with the “No Surprises Act” requires all healthcare providers to notify clients of their Federal rights and protections against surprise billing. We will provide you with a Good Faith Estimate of the cost of services associated with treatment at our practice. Please know that it can be difficult to determine the duration of treatment for mental and/or behavioral health care. Each client has a right to determine the length of time they would like to participate in mental health care. As a result, once you schedule an appointment with our practice, you will receive a notification of the fee schedule consistent with the services offered by your therapist. We will consistently communicate with you in order to determine how many sessions you may need based on assessment and your individual goals. Please know that you can choose to receive care from a provider or facility within the network of your insurance healthcare provider, which may cost you less. We take pride in the care that we provide our clients. If you believe that we are a good fit and decide to seek services from our practice, we will notify you in writing of your expected costs. Our goal is to administer high quality services replete with transparency and free of surprise costs.

Notice of Privacy Policy

KCT Rehabilitation Services

10130 Northlake Blvd., Ste. 214-127, West Palm Bch., Fl. 33412

Tel: 561-455-6826 Fax: 561-530-2053

E-mail: DrToni@kctrehab.com

EFFECTIVE DATE OF THIS NOTICE This notice went into effect on 08/09/2022, NOTICE OF PRIVACY PRACTICES.

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. MY PLEDGE REGARDING HEALTH INFORMATION: I understand that health information about you and your health care is personal. I am committed to protecting health information about you. I create a record of the care and services you receive from me. I need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this psychological practice. This notice will tell you about the ways in which I may use and disclose health information about you. I also describe your rights to the health information I keep about you and describe certain obligations I have regarding the use and disclosure of your health information. I am required by law to:

Make sure that protected health information (“PHI”) that identifies you is kept private.
Give you this notice of my legal duties and privacy practices with respect to health information.
Follow the terms of the notice that is currently in effect.
I can change the terms of this Notice, and such changes will apply to all information I have about you. The new Notice will be available upon request, in my office, and on my website.

II. HOW I MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU:
The following categories describe different ways that I use and disclose health information. For each category of uses or disclosures I will explain what I mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways I am permitted to use and disclose information will fall within one of the categories.

For Treatment Payment, or Health Care Operations: Federal privacy rules (regulations) allow health care providers who have direct treatment relationship with the client to use or disclose the client’s personal health information without the client’s written authorization, to carry out the health care provider’s own treatment, payment or health care operations. I may also disclose your protected health information for the treatment activities of any health care provider. This too can be done without your written authorization. For example, if a therapist were to consult with another licensed health care provider about your condition, we would be permitted to use and disclose your personal health information, which is otherwise confidential, in order to assist the therapist in diagnosis and treatment of your mental health condition.

Disclosures for treatment purposes are not limited to the minimum necessary standard. Because therapists and other health care providers need access to the full record and/or full and complete information in order to provide quality care. The word “treatment” includes, among other things, the coordination and management of health care providers with a third party, consultations between health care providers and referrals of a client for health care from one health care provider to another.

Lawsuits and Disputes: If you are involved in a lawsuit, I may disclose health information in response to a court or administrative order. I may also disclose health information about your child in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

III. CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION:

Psychotherapy Notes. I do keep “psychotherapy notes” as that term is defined in 45 CFR § 164.501, and any use or disclosure of such notes requires your Authorization unless the use or disclosure is:
a. For my use in treating you.
b. For my use in training or supervising mental health practitioners to help them improve their skills in group, joint, family, or individual counseling or therapy.
c. For my use in defending myself in legal proceedings instituted by you.
d. For use by the Secretary of Health and Human Services to investigate my compliance with HIPAA.
e. Required by law and the use or disclosure is limited to the requirements of such law.
f. Required by law for certain health oversight activities pertaining to the originator of the psychotherapy notes.
g. Required by a coroner who is performing duties authorized by law.
h. Required to help avert a serious threat to the health and safety of others.
Marketing Purposes. As a psychologist, I will not use or disclose your PHI for marketing purposes.
Sale of PHI. As a psychologist, I will not sell your PHI in the regular course of my business.

IV. CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION.
Subject to certain limitations in the law, I can use and disclose your PHI without your Authorization for the following reasons:

When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law.
For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing or reducing a serious threat to anyone’s health or safety.
For health oversight activities, including audits and investigations.
For judicial and administrative proceedings, including responding to a court or administrative order, although my preference is to obtain an Authorization from you before doing so.
For law enforcement purposes, including reporting crimes occurring on my premises.
To coroners or medical examiners, when such individuals are performing duties authorized by law.
For research purposes, including studying and comparing the mental health of clients who received one form of therapy versus those who received another form of therapy for the same condition.
Specialized government functions, including, ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counter-intelligence operations; or, helping to ensure the safety of those working within or housed in correctional institutions.
For workers’ compensation purposes. Although my preference is to obtain an Authorization from you, I may provide your PHI in order to comply with workers’ compensation laws.
10 Appointment reminders and health related benefits or services. I may use and disclose your PHI to contact you to remind you that you have an appointment with me. I may also use and disclose your PHI to tell you about treatment alternatives, or other health care services or benefits that I offer.

V. CERTAIN USES AND DISCLOSURES REQUIRE YOU TO HAVE THE OPPORTUNITY TO OBJECT.

Disclosures to family, friends, or others. I may provide your PHI to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations.

VI. YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI:

The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask me not to use or disclose certain PHI for treatment, payment, or health care operations purposes. I am not required to agree to your request, and I may say “no” if I believe it would affect your health care.
The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full.
The Right to Choose How I Send PHI to You. You have the right to ask me to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and I will agree to all reasonable requests.
The Right to See and Get Copies of Your PHI. Other than “psychotherapy notes,” you have the right to get an electronic or paper copy of your medical record and other information that I have about you. I will provide you with a copy of your record, or a summary of it, if you agree to receive a summary, within 30 days of receiving your written request, and I may charge a reasonable, cost-based fee for doing so.
The Right to Get a List of the Disclosures I Have Made. You have the right to request a list of instances in which I have disclosed your PHI for purposes other than treatment, payment, or health care operations, or for which you provided me with an Authorization. I will respond to your request for an accounting of disclosures within 60 days of receiving your request. The list I will give you will include disclosures made in the last six years unless you request a shorter time. I will provide the list to you at no charge, but if you make more than one request in the same year, I will charge you a reasonable cost-based fee for each additional request.
The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that I correct the existing information or add the missing information. I may say “no” to your request, but I will tell you why in writing within 60 days of receiving your request.
The Right to Get a Paper or Electronic Copy of this Notice. You have the right to receive a paper copy of this Notice, and you have the right to receive a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy of it.

Acknowledgement of Receipt of Privacy Notice Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have certain rights regarding the use and disclosure of your protected health information. Feel free to contact KCT Rehabilitation Services for more information, you may contact us at 561-455-6826. You can also contact us via email at DrToni@kctrehab.com or in writing at 10130 Northlake Boulevard, Ste. 214-127, West Palm Beach, Florida 33412.

KCT Rehabilitation Services, LLC Dr. Tonise Florexil, Licensed Psychologist

Frequently Asked Questions

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