Patients have the right to information to care and health care decision making and it is my responsibility to guide the journey. I appreciate working collaboratively with you towards healing.
Our first session, will be a comprehensive evaluation with medical background to move towards
goal setting in a collaborative manner. Thereafter, we will continue to work in a safe and
supportive environment, periodically, to help gain a better understanding of oneself and towards
treatment goals with my professional support I will inform you and your family (for minors), the
benefits and risks of each therapy and/ or medicine option before choosing the treatment. If my
service is limited or differing from your perspective, I will work with you to refer to
appropriate service(s).
All adults consent to their own care, unless the mental state is altered secondary to illness,
substances and/or competency issues. For a minor, especially in the state of Washington, age 13
and above is sufficient to consent to care without informing the parent or guardian.
I will maintain strict confidentiality of your personal health information and care, as guided
by the legal requirements of Health Information Portability and Accountability Act (HIPAA).
Excluding the care of minors below 13 years of age, all health information are strictly personal
and confidential and will be released only with your permission. As psychiatric illnesses are
medical entities, contacting your medical provider to coordinate care for treating medical
problems or follow up of labs etc., may be required with your permission to maintain care
in a comprehensive manner. There are few times in practice, when I am required to disclose
information without your consent, which include danger to oneself, to others, abuse or neglect
of child or elder. I understand that these are difficult experiences and hence will ensure these
significant times and the limits of disclosure are discussed with you in advance.
As per Washington state mandate, mental health and substance use treatment for adolescents at
the age of 13 and above are personal and confidential even from parents and caregiver, except
in case of danger to self, to other(s), abuse/neglect and medical emergencies. I encourage you
as a family to talk to your teen about mental health and substance use related issues to maintain
good communication and support within the family.
I am an out of network provider. Fee is due at the end of our session and a billing statement
about the service, visit code with fee amount will be provided at the end of each session for
the claim. Reimbursement from insurance provider is patient’s responsibility. Please call your
insurance provider to discuss the contingencies of seeing an out of network provider. Payment
is accepted in cash, checks and major credit cards.
Each appointment is made in advance and is not transferrable. I request you to kindly call in
advance for cancellation to protect time for you and me. Cancellation less than 24 hours or
missed appointments will be charged the full fee. Insurance plans do not cover missed or
cancelled appointments, hence call before 24 hours to avoid unnecessary expenses.
All patient health information are protected by HIPAA regulations for confidentiality purposes.
Medical records are maintained in electronic database and on paper, which may be available, within
limits of confidentiality and clinical judgment, for your reference for additional costs. I would
recommend discussing the clinical content with me to facilitate clarifications, if any.
For scheduling, refills or queries regarding care, you may contact me through email at
contact@ceciliamargret.com or via phone at
+1 (425) 305-3035. As I work in multiple settings of health
care, I am unable to get back to you immediately but assure to call you as soon as I can.
Due to the limits of outpatient practice, I request you to contact 911 or crisis line or
emergency service for any crisis event(s). Appreciate your understanding.
Medicines will be prescribed if indicated after collaborative discussion with you and in case of minors, your family. Medications will only be prescribed after your informed consent as they bear both benefits and risks that will be explained in your visit. Prescriptions and refills for an adequate supply till your next appointment will be written by me. It is your responsibility to call for refills to ensure adherence to treatment. To avoid medication related adverse effects or long term side effects it is recommended we plan a follow up visit when refills are provided for care.