- See a Therapist within 3 to 7 days! View Therapist profiles.
- Easily & quickly book sessions online!
- Get help paying for your sessions through your insurance or EAP!
- Get your ESA Letter for Housing or Travel
- Get matched with a Companionship Attendant (CNA, HHA, Sitter)
We will promptly match you with an available therapist once we receive your Sign-Up and Intake form. You may go ahead and schedule your first appointment with us. Please note that your appointment will only be confirmed after proper insurance and payment card information has been received and processed for you, which typically takes 3 days, more or less. Valid confirmation will only come from us; likely via our email address.
INSURANCE PLANS WE MAY ACCEPT: *Optum; *United Behavioral Health (UBH); *United Healthcare; *Evernorth; Coventry; Aetna; *AllSavers UHC; Allied Benefit Systems – Aetna; Christian Brothers Services – Aetna; *Cigna; *Harvard Pilgrim; Health Plans Inc.; Health Scope – Aetna; Meritain; Nippon; *Oscar; *Oxford Health Plans; Surest (Formerly Bind); Trustmark Health Benefits – Aetna; *Trustmark Health Benefits – Cigna; Trustmark Small Business Benefits – Aetna; *UHC Student Resources; *UMR – United Medical Resources; *United Healthcare Shared Services; *UnitedHealthcare; *UnitedHealthcare Global; *Optum EAP; *United Healthcare EAP; Cigna EAP; Blue Cross Blue Shield of Massachusetts (All States Where Licensed). **We may accept your other plans. Simply submit the Sign Up form, Email tdntcounseling@tdntsocialservices.org or Contact us to check your specific coverage. (Scroll for More)
Currently, we only provide prepaid telehealth prescheduled sessions and sometimes in-office sessions. We do not provide Hotline or Emergency Services at this time. For these or related services, please refer to the Resources List below or consult elsewhere. This list is usually useful in case of emergency. You may refer to these listed contacts anytime; some may be useful even when you may not be experiencing an emergency. You can also contact us and our clinical team will respond as soon as possible. We do not currently provide 24/7 monitored emergency voicemail, phone lines or emails. But we will do our best to reach out immediately once we are able. (Scroll for More)
Additional Resources:
911 Police/Law Enforcement (Ask for Mental Health Unit)
Your Local Hospital ER/ Your Primary Care Physician_________
Your Support System_________
National Suicide Prevention Hotline: www.suicidepreventionlifeline.org
Crisis Text Line – Text HOME to 741741; www.crisistextline.org ; Call 988
National Suicide Prevention Lifeline – 1-800-273-8255(TALK)
Trans Lifeline – 1-877-565-8860 (for the transgender community)
TrevorLifeline – 1-866-488-7386 (for LGBTQ youth)
Veterans Crisis Line – 1-800-273-8255, Press 1
Essential Community Services United Way – 211
Georgia Department of Family & Children Services – 1-877-423-4746
Florida Department of Family & Children Services – 1-850-300-4323
DFCS Child Protective Services (GA) – 1.855.GACHILD (+1 855-422-4453)
DCF Domestic Violence Hotline (FL) – 1-800-500-1119
Centers For Disease Control and Prevention – 1-800-232-4636
CDC Regional Poison Control Centers – 1-800-222-1222
In the meantime, you enjoy the rest of your day and practice coping tools to help support your mental health on a daily basis. Positive thinking, which leads to positive self-talk, goes a long way! Have a better rest of your day and see you soon! From Our Clinical Staff, LPC, NCC
VIEW & ACCESS YOUR SCHEDULED APPOINTMENTS:
CONTACT US OR CLICK BELOW FOR OUR PRICING PLANS. We offer Insurance and EAP billing as well as additional payment plan options. Our Standard Payment Plan for Individual Therapy is $146.15 per session. More affordable payment plan options starting from $39.38 are also available. Legacy plans are reserved for our current clients. Exceptions apply. Submit the Sign Up form.
TDNT COUNSELING SERVICES PRICING PLANS
MORE ON TDNT COUNSELING SERVICES (View More Including – Other Healthcare-related Referral Services & In-Home or Remote Emotional Care Services for the Elderly & Others Classified as Disabled and/or Vulnerable – Youths, Adults, etc [CNAs, HHAs, Sitters as Private Independent Companionship Attendants])
| Thank you for visiting TDNT Counseling Services Program at TDNT Social Services, Inc. We will reach out to you as soon as possible, likely within the next 3 days of you contacting us. For emergencies, please call 911 or your other local emergency service lines. Visit our website at https://tdntsocialservices.org/tdnt-counseling-services for more information and to Sign Up for service(s). We provide supervision, counseling, psychotherapy and listening services. We also provide case management, care coordination, companionship care and ESA letters. You can also Book an Appointment; Pay for your Copay, Coinsurance or Codeductible responsibilities; Complete our Intake Form; or view our Pricing Plans and Policies as well as Consent forms. DISCLOSURE/DISCLAIMER: TDNT Social Services Inc is credentialed on different insurance panels through its LPCs. We, including our LPCs, have never worked for Alma, Sondermind, Headway, Path Mental Health or any other organizations; but did sign a contract and paid membership fees to submit claims, bill and receive potential client matches from these four (4) organizations only, between 7/3/2021 and 2/16/2024. We are no longer on a paid membership contract with these four (4) organizations as of 4/1/2024. We are only affiliated with TDNT Social Services, Inc in this independent practice and have been affiliated with the nonprofit since before 2018. We are not affiliated with any other organizations in that way and have only been practicing with TDNT Social Services, Inc. Professional and paid profiles have been posted online on other websites in the past including on Alma (paid membership that ended), Sondermind (contract that ended), Headway (contract that ended), and Path Mental Health (contract that ended). Our membership contract with Alma ended on 4/1/2024 and we stopped submitting any claims through Alma on 2/16/2024. Our contract ended with Path Mental Health in December 2022 when we stopped submitting claims through them. Our contract ended with Headway in March/April 2023 when we stopped submitting claims through them. Our contract ended with Sondermind in August 2023 when we stopped submitting claims thru them. Client referrals sent to any of these organizations above or any others not listed here will not reach our practice. We also no longer have access to their linked Electronic Health Records (EHR) system where we stored all patient records or documentations when billing through these organizations. Currently, our professional profile is on our practice’s website as well as these other therapy directory websites that we paid fees to in order to publish our profiles and practice information: 1. TDNT Counseling Services https://tdntsocialservices.org/tdnt-counseling-services 2. Psychology Today https://www.psychologytoday.com/us/therapists/tdnt-social-services-inc-atlanta-ga/853387 https://www.psychologytoday.com/us/therapists?search=TDNT+Social+Services 3. Doctor https://www.doctor.com/Slande-Saintclair 4. Therapy Den https://www.therapyden.com/therapist/slande-saintclair-atlanta-ga 5. Open Path Collective https://openpathcollective.org/clinicians/slande-saintclair/ 6. VitaDox https://www.vitadox.com/doctor/belle-glade-fl-33430/slande-saintclair-lpc-ncc/ALpEHuM9LdoxdGFE3oxcuB Our professional profile is no longer with Alma (paid membership ended), Sondermind (contract ended), Headway (contract ended), Path Mental Health (contract ended) or any other organization that are no longer providing this LPC or our independent practice with potential client matches. REGARDING “PATIENT RECORDS” REQUESTS: In light of the above disclaimer/disclosure, if you are requesting patient records or patient charts, please refer to these four (4) organizations listed above for services provided on dates before 2/17/2024. Included in our membership with those organizations (that ended) was the EHR system which we used to house all patient records. We also submitted all claims to insurance panels through these organizations with the patient records and notes attached. These organizations promised to attach all notes and patient records as necessary to any claims we submitted through them. Therefore, all notes and documentations should have already been submitted to the insurance panels by these organizations. We have already documented all patient records through these organizations’ EHR systems since they were the custodian of these documents at the time and we were paying or contracted to utilize their EHR system at the time. All services and patient data were housed in these EHR systems. We no longer have access to those EHR systems since our membership or contract with them has terminated, and we are not the custodian of these records. Therefore, we cannot provide you with these documents by law. Furthermore, All Requests for patient records for dates before 2/17/2024 MUST be submitted to these four (4) organizations respectively. Please allow 30 days to receive a response from them in accordance with HIPAA laws. A simple internet search will take you to their websites and redirect you to their support and patient records department for further assistance. Regards, ATTN: TDNT Counseling Services TDNT Social Services, Inc. 1445 Woodmont Ln NW #998, Atlanta, GA 30318 (Telehealth Only; No In-person Visits) Mailing Only: PO Box 2213, Belle Glade, FL 33430 https://tdntsocialservices.org/tdnt-counseling-services tdntcounseling@tdntsocialservices.org Text Line: 954-324-7843 [the following #s are no longer valid as of 8/4/24] 408-956-4728; 561-292-0220 Skype: TDNT Counseling Services CONFIDENTIALITY NOTICE: The information contained in this message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any use, disclosure, dissemination, distribution or copying of any portion of this message or any attachment is strictly prohibited. If you think you have received this message or reached this page in error, please notify the sender at the above e-mail address, and delete this message along with any attachments on your end. Thank you. (Scroll for More…) |
Frequently Asked Questions (FAQ’s)
1. What services does TDNT Counseling Services provide? [next] TDNT Counseling Services is a nonprofit program at TDNT Social Services Inc where we provide counseling and educational services. Please review this main page and visit our Services page for more information. You may also view our Home page as well as our About pages for more information. We address several issues that you may be undergoing and that may be impairing your functioning at different levels, mainly your psychological and social functioning. If you are facing issues that are negatively affecting your social or psychological functioning, we provide support services and counseling to address these issues and to work together with you to come up with coping mechanisms to reduce distress and mental dissonance or discord. We provide individual as well as group sessions for varying issues including stress-induced disorders, stress management issues, depression, anxiety, addictions among other behavioral issues. We also provide tutoring and learning aide services. We use different approaches to address your issues based on your needs and requirements as well as based on your assigned professional’s best judgment. 2. What forms are clients required to complete? [next] We encourage potential or prospective clients to review the forms posted on the Policies & Forms page on our website. You will be completing the following forms preferably before your first session or your first appointment. You must complete some of these forms with your counselor or professional during your first session, at the latest, in order to proceed with counseling or any other service(s). We recommend you sign the forms before or during your online registration for your first session. If you need assistance completing these forms, please contact us immediately. We may also be able to send some of these forms as a fillable version to you via email for you to complete, sign and return to us. We recommend that you review and complete these forms upon registering for service. For Clients Seeking Counseling Services: To process your registration and your payment for service, we will need the following. Please complete and submit online; or return to tdntcounseling@tdntsocialservices.org: i. Sign-Up Form (This is our required Admission form) ii. Client Services Agreement; iii. Informed Consent; iv. Telehealth Consent; v. Email/Text Consent; vi. Notice of Privacy Policies; vii. Guidelines for Emergency; viii. Release of Information (PHI) Form; ix. Collateral Contact Form; x. Initial Pre-Consultation & Attendance Policy; xi. No-Show Reminder & Resources xii. Patient Safety Plan Occasionally and within 5 days of your counseling sessions, your counselor or assigned professional will work with you on your individual service plan or treatment plan and may require that you review and sign that form. These forms are usually reviewed every 30 days or as needed and each time you may have to sign alongside your counselor or instructor to show you understand what your goals and objectives are as well as what plan is put in place to address your concerns. You will be helped every step of the way and should you have any more questions, please send us an email. We will respond as soon as possible 3. Your Service Agreement Explained [next] Please refer to the Service Agreement posted on the Policies & Forms page or already sent to you by email. We will discuss the different sections of the Agreement here: INTRO & SERVICES: Welcome to Our Online Services. We hope you enjoy the many conveniences and benefits of the services TDNT Counseling Services at TDNT Social Services Inc offers; this includes the convenience of being online. We are happy to be able to reach you to provide quality service to you despite the distance and whatever other obstacles you may currently be facing, including the pandemic among other issues. PAYMENT: Please review our Policies & Forms and our Sign Up form for more information. Our Sign Up form is our required Admission form. You are able to pay for services via credit or debit card and bank account information and/or your health insurance coverage that we accept and that is willing to help you pay. We may also accept USPS Money Orders or checks by mail or in-person made payable to TDNT Social Services Inc. NSF fees may apply. Our Cash Payment By Mobile Appointment Service may or may not be available at this time. Your payment method including your payment card, bank account, checks or USPS money orders are required to be on file before we schedule you, even if your health insurance provider is helping you pay. You are responsible for your copayments, codeductible, coinsurance and other out-of-pocket payments. If your insurance provider does not pay or is not willing to pay for you, you are responsible for the entire cost of service. This includes if they block claim submission for you rendering us unable to submit claims to receive potential payments. We offer individual and group or family/couples therapy. We provide individual therapy with or without collateral contacts present. Our standard price for individual therapy is $146.15 for Self-Pay. Our Insurance coverage rates are different for 100% out-of-pocket payments. We encourage you to enroll in Self-Pay instead if your insurance is not covering your sessions and is requiring you to pay 100% out of pocket, since our standard Self-Pay price is more affordable. We offer a Sliding Scale based on income and the federal poverty guidelines. See our Sign Up form or Admission form, our Policies & Forms, and our Pricing Plans for more. We offer shorter sessions on the Sliding Scale as well and we offer Nonprofit Program plans which are the most affordable and based on eligibility and availability. We provide services as low as $31.25 a month (plus a small processing fee) depending on the nonprofit program service, your eligibility, the session type and how many sessions you are signing up for monthly. Our most affordable and most standard price is $200 monthly (plus processing fees) because you are receiving 4 weekly individual sessions in the month. You are getting the one-on-one individual attention and you are receiving enough sessions to provide you with the support and help that you need. We recommend this for the first 12 weeks to 24 months for any individual session. Email us to discuss what you can pay and we will see how we can work with you to support your care. Ask us about paying by insurance and/or Medicaid and Medicare. We may be able to take those forms of payments as long as your insurance provider pays or is willing to help you pay. You are to pay for your first session at least 7 to 14 days prior to your first appointment. We recommend you pay for your sessions before or during your registration, at the latest you must make payments within 2 days from scheduling your appointment. You will receive your access codes and confirmation once your payment is final, likely within 71 hours prior to your appointment. SCHEDULING & ATTENDANCE: Please review our Policies & Forms for our attendance and scheduling policies. You were also sent these to your email address on file when you first contacted us about service. Pay Special attention to: 1. Client Services Agreement; 9. Initial Pre-Consultation & Attendance Policy; 10. No-Show Reminder & Resources for more information and clarification. We understand that things may arise where you may have to cancel and reschedule your appointments. We ask that you send us a 72-hour notice to cancel your appointment and for us to reschedule your session within the same week or same month; otherwise, you will be assessed a noncancellation or a no show fee. Payments are Nonrefundable. You will not be able to cancel and/or reschedule without this 72-hr notice; it will be a no-show and you are also absolutely unable to receive a refund within 144 hours (6 days) before your appointment. Payments are non-refundable in general. If we review and decide that we are able to issue a partial refund, which is rare, you must have submitted a 144-hour notice to our email tdntcounseling@tdntsocialservices.org to cancel and for a refund; and refunds are always partial (minus processing fees). This has been our policies since we first started several years ago; it is current and enforceable. Our fees for services are very low and our policies are very clear, reasonable and fair. As always, ask us any questions and we’re glad to assist. If you are unsure about keeping your appointment and you know you’ll want a refund, be sure to first request to schedule your appointment at least 7 to 8 days out on the Sign Up form before you submit the form to us; and be sure to submit your request or notice to cancel at least 144 hours before your appointment. Notices must be sent to tdntcounseling@tdntsocialservices.org. Otherwise, your payments are absolutely nonrefundable. The best way to schedule your appointment is on the Sign-Up form or Admission form; and under the Comments section, you will want to include the date and time you want to schedule your appointment; otherwise, you are indicating you have open availability and can be scheduled as soon as possible (ASAP). If you request to be scheduled ASAP but do not provide a specific date and time for the appointment, we will try our best to schedule you as soon as possible any date and time our therapists are available as per your request on the Sign Up form. If you do not want us to charge your card on file, be sure to include this in the comments section for us not to charge your card you’ve provided to us on the form. Please be advised that you will not be scheduled until after you’ve emailed us and/or completed a new Sign-Up form or Admission form to authorize payment with a correct and valid payment method and until after your payment is initiated. If you do not want us to schedule your appointment, please also include this in the comments section on the Sign Up or Admission form. Otherwise and once you submit the Sign Up or Admission form, you have authorized charges to your payment card or bank account on file, you have agreed to and are bound by the terms of service and our policies, and you have requested for us to schedule you and/or provide services. And if you did not provide a 72 hour notice to reschedule or cancel your appointment, you will be responsible for, be assessed and be charged a noncancellation fee, which may be $105 or $52.08 (subject to change) depending on your specific service and payment plan. Again, notices must be provided to us via tdntcounseling@tdntsocialservices.org at least 72 hours in advance. If you owe past charges whether it is because your insurance provider did not cover your past session(s) or something else, you are absolutely not eligible for a refund. Our policies are posted, reasonable, clear and enforceable. Review our policies and Ask us any questions you may have before scheduling and we will be glad to assist. In summary, your payments are nonrefundable. We may consider if we can issue a partial refund at times, but we rarely can. Your payments become absolutely nonrefundable within 144-hours prior to your first scheduled appointment in the month regardless of when you scheduled because you can always request to schedule your appointment 7 to 8 days out or even farther out within the month; and you are required to provide this 144-hour notice to our email address tdntcounseling@tdntsocialservices.org for us to consider and review your account to see if we can issue you a partial refund. What this means is that for nonprofit program plans with multiple sessions included, your request to completely cancel one or all of your sessions without rescheduling must be submitted to us at least 144 hours (6 days) prior to your first appointment date to be a valid cancellation request and not a missed session. Payments are nonrefundable but we may review to see if we can issue a partial refund. For Sliding Scale and Standard Self-Pay plans, payments are nonrefundable; but you can reschedule or cancel any one appointment by submitting a 72hr notice before the appointment you want to reschedule or cancel. We may review your account to see if we are able to issue a partial refund, which is rare, if you’ve provided a 144-hour notice to cancel and requested this refund. If you don’t provide a 72hr notice to cancel or reschedule, you will be assessed a noncancellation fee. That is the only way you may be eligible for a review for a refund (minus the processing fees): request a refund at least 144 hours prior to your first session in the month if you are enrolled in our affordable program plans or prior to the session you want to cancel if you are Insurance Pay, Standard or Sliding Scale Pay. We may not be able to issue you this refund at all. If we don’t tell you we can issue the refund, then consider we are enforcing our policies and we are not able to issue this refund, since it is nonrefundable. As always, please keep in mind that payments made to us are nonrefundable. As you can see, we can only try to issue partial refunds when we do: that is, your payment minus any processing fees we have incurred and must pay to our payment processors as a result of these related charges and transactions. Payments are nonrefundable. After or outside of this 144-hr time period, your payment becomes absolutely nonrefundable and you can only reschedule within the week or the month, if you would prefer. Refunds may take up to 90 days for processing and to be issued when eligible. Missed appointments and excessive cancellations can lead to unsuccessful discharge from the program. Additionally, you must have valid reasons for not attending and must provide prior notice whenever you are able. Review the Service Agreement for further details. COUNSELING PROCESS: There are no guarantees in counseling or psychotherapy. It can be a very relaxing process; it can also be intense; though you are recommended and required to put in the work to address your clinical issues together with your counselor or assigned professional; you are recommended and required to work towards meeting your goals and objectives on your treatment or service plan in order to make progress. We are here for you and we want to work with you throughout the entire process and beyond. We want you to understand that change will not come unless you are willing to do something productive to bring about change. So, let’s work on it! 4. MEDICAL RECORDS RETRIEVAL [next] Pursuant to O.C.G.A §31-33-3, HIPAA laws et al; See Policies & Consent Forms; 5. Notice of Privacy Policies; 7. Release of Information (PHI) Form; Also See Patient Records Disclosure/Disclaimer above; review these policies, disclaimers and disclosures; complete and submit these two (2) forms securely online; and email us immediately at tdntcounseling@tdntsocialservices.org or mail us to PO Box 2213, Belle Glade, FL 33430. You can have someone help you read and complete these forms as well. Or you can schedule a paid session with an assigned therapist for a clinical session via telehealth in which your assigned professional will also review these clinical consent forms as well as these medical records forms with you. Please allow 30 days for a response to your medical records request, for approval or some other status as appropriate and in accordance with HIPAA laws. Your request for medical records must be either emailed to us via our secure email tdntcounseling@tdntsocialservices.org or submitted to us online via our secure online forms above (5. Notice of Privacy Policies; 7. Release of Information (PHI) Form; Also See Patient Records Disclosure/Disclaimer). You can also mail your medical records request to us at the mailing address above. We encourage you to also review the laws of medical records to understand the process further as for as what rights and limitations you may have and what obligations and responsibilities your clinicians may have as well regarding whether or not your PHI or medical records are released to you or any third party. Be sure to Provide the patient’s full legal name (first and last name) and date of birth as well as where to send the client or patient’s medical records in accordance with HIPAA laws. Be sure to email or mail us your third party organization’s copy of the patient’s PHI Release authorization form that the patient had signed with you along with your request for medical records, if you are a third party requester. The patient must have signed and authorized your PHI Release form and you must have had it on file and forward it to us so that we can have a copy on file as well before we can review your request for medical records. This is to verify that the patient had authorized the release of his or her PHI to you and also to be sure we are releasing the PHI of the correct patient and sending it to an authorized party in accordance with HIPAA laws. If you are requesting us to assess for disability, please contact us separately and complete our Sign-Up form or Admission form. If you are requesting ESA letters or assessments, please be sure to complete the Sign Up or Admission form and contact us separately for this as well. Our medical records for our former or current patients do not determine disability status for benefits or any other purposes. We are solely providing the patient’s medical records to you as authorized by the patient, by the clinicians and by HIPAA laws. If you have provided us with a form for us to fill out and we are able to complete this form, you will notice where it may say Not Assessed on forms you’ve requested. But we will be sure to include any relevant and authorized patient data you’ve requested according to HIPAA. If you want these assessed, please be sure to complete the Sign Up or Admission form to sign up for clinical service including assessments and clinical evaluations. Be sure to include the purpose of this record and what specific records are being requested (existing data: summary of services, diagnoses, summary of diagnoses and clinical impressions, dates of service, or discharge summary if applicable; newly created data: prognosis, etcetera). Be sure to include your payment information for any record fees and also be sure to click the payment link on the form to make the payment yourself, if you so prefer to pay yourself. If we don’t receive payment before or at the same time you submit your medical request, we will go ahead and take payment from the payment card or bank account you provided to begin processing your request. You authorize this on the form once you submit it. Should you or the records requestor choose to pay by check or USPS money order, please mail the check to PO Box 2213, Belle Glade, FL 33430 and make the check or money order payable to “TDNT Social Services Inc”. Include “medical records request” on the memo line. We are not responsible for lost correspondence in the mail. We will let you know how much your medical records fees are; and after you’ve submitted your request, you can also go back to open up the blank request form to access the payment link to make a payment. We would advise that you only do this before or at the same time you submit the request form or if we’ve told you that we were not able to take payment. You can enter N/A on the payment data sections on this PHI form, if you are only completing this form so that you can authorize release of your PHI as authorized by HIPAA for billing, claim processing and other internal Clinical Practice processes and purposes. If you are requesting medical records for a current or former patient and you are contacting us from an insurance provider or insurance company, please submit your request for medical records in writing either via HIPAA compliant email or via mail; and be sure to include the member or patient’s full legal name as well as the date of birth; and include how we will send this medical record to you (via a secure portal, provide unbroken link and login instructions; via mail, provide your records department mailing address; via fax, provide your company’s fax number; etcetera). You must also provide your name (first and last name) for us to include as the requestor of records. Otherwise, it is not a complete or a valid medical records request and we cannot honor it by all means. We have to know in writing who the medical records belong to in order for us to search, retrieve and provide such records. We have to also know who we are providing this record to in order to legitimize this request and be sure the requestors are who they say they are and they are authorized to receive such records. You must include your full legal name on the request as the contact person for the insurance provider. Otherwise, we will not be able to provide medical records for unknown or undisclosed persons/patients and to unknown or undisclosed possibly unauthorized parties. This is in accordance with HIPAA laws. We do not require any other forms other than your email or letter request with your full name, the patient’s full legal name, the patient’s date of birth; the record being requested; and where to send the records; or you can also submit the online form requesting the PHI/medical records with these information included. (7. Release of Information (PHI) Form; Also See Patient Records Disclosure/Disclaimer) This is in accordance with HIPAA as well as other state and federal statutes and board guidelines, regulations and standards; and anything less is incomplete and cannot be accepted as a medical record request, and we cannot furnish any records as a result. We will need and do require the patient’s full name, date of birth and authorization to release medical records form as well as where and to whom to legitimately send this data. We only disclose medical records or other records containing patients’ PHI on an as-needed basis and only when required under the law. Please review the Clinical Consent forms as well as our other forms and policies posted on our website for more information. Should our clinical staff or unpaid volunteers and licensed personnel have reason(s) to believe that based on best clinical judgment that a patient is in danger to self or others, including persons the patient knows and the therapists, we may be required to release patient data and PHI on a need-to-know basis to the appropriate agencies or groups. Patient data is privileged. PHI may also be released on a need-to-know basis for billing and collection purposes as well as any billing-related matters that may arise including bank or payment processor disputes. Only required data will be disclosed which may include PHI. Please understand that according to HIPAA and other state and federal laws, if the patient has any outstanding or delinquent balances that he or she owes to us, or if the patient and/or the insurance company did not actually pay for the services, that we reserve the rights to deny any such medical records request as long as that service was not advertised or promised as an unpaid service to said patients. Our pricing plans, service fees and medical records fees are reasonable and manageable. Our medical records fees are reviewed and vetted; they are required for our small nonprofit organization to furnish these records to you. We have to pay fees to other third parties to search, retrieve and pull copies of these data or our licensed professionals must perform reviews, new evaluations or assessments in order to provide these documents sometimes. Many times, we have to request paper copies of patient data from our external third party EHR systems via fax or mail in order to access them and provide these to you, when applicable and when possible. This is why we charge our medical records fees as allowed by state laws; and we also encourage you to directly contact our former third party EHR systems, if they were the custodian of your medical records in the past or at that time of service, in order to get your medical records directly from them. Please see Patient Records Disclosure/Disclaimer for more information. As well, please be advised that medical records may be withheld under other circumstances as outlined in the Policies & Consent Forms and HIPAA laws among other state laws, including such if release of such data may pose a threat to the safety of the patient, the therapist or any other persons including unnamed individuals. If there are any reason to believe that, based on best professional and clinical judgment, a release of the data may result in self-harm or suicidal ideations or attempt by the patient (current or former), harm or homicidal ideations by the patient to any other party including the therapists, we reserve the rights to redact, and/or remove as well as withhold or deny the medical request in accordance with state and federal laws. For any questions, please do not hesitate to contact us and we will be glad to assist. 5. Completing Our TDNT Counseling Services Forms [next] **Not signing the TDNT Counseling Services forms #1 thru #11 does not preclude you from receiving services from us or from making payments to us according to our policies, agreement and guidelines. Receiving services from us is not contingent on you signing these forms. You can still receive services and agree with a verbal or written consent outside of the use of these forms. We do, however, encourage you to sign these for your records (to include in your client or medical records). Please pay special attention to the Client Services Agreement and the Initial Pre-Consultation & Attendance Policy as these two are especially very useful to read before or upon signing up. To signup for services, please complete the INTAKE/Sign-Up form (which is our required Admission form) or Book an appointment with a prepayment of your copay or self-pay amount, whether $1 or more. It is much simpler to fill out the admission or INTAKE/Sign Up form and allow us to schedule for you based on your requests on the form. You may also provide this information to us via our secure email, phone or mail. You may also provide this information during our free 10 minute initial consultation, when one is offered to you. You will know you have a free 10 minute consultation when you’ve received an email from us from our email address tdntcounseling@tdntsocialservices.org informing you that you have a free session. Reviewing our forms, websites and asking us any questions you have to our email can prove even more useful. Once you have signed up for service(s) with your request to schedule a session (appointment) and with your prepayment, you have consented to these policies and guidelines and are considered informed. Please review these forms, policies and guidelines thoroughly; and ask us any questions you may have prior to requesting or agreeing to schedule your session, essentially giving your informed consent. Please check your email for your private HIPAA-compliant appointment link. Review our Practice Policies online at https://tdntsocialservices.org/tdnt-counseling-services. Click Policies to open, sign and date each form. We Welcome You to TDNT Counseling Services at TDNT Social Services Inc! We’re always glad when you reach out and schedule a Paid Session with our Independent Practice! This includes a Paid Consultation! It means that you are seeking quality care for your mental health!!! We commend you on this! Our membership authorizes 3rd Party Companies to submit insurance claims for some of our clients. We are however your Clinical Service Provider. Please send any questions you have about our service to our email. We’ll be glad to assist. Upon booking an initial session, please complete the INTAKE/Sign Up or Admission form on our website tdntsocialservices.org/tdnt-counseling-services to INTAKE/Sign Up or schedule your next session. Our standard Self-Pay price is $146.15 per session. We offer more affordable Sliding Scale and Nonprofit Program plans as low as $39.38 per session, based on need and eligibility. Ask Us! We encourage you to complete the Intake and Consent/Policy forms on our website (also via email). Once you INTAKE/Sign Up, you’ll receive an email confirmation that your session has been scheduled with your HIPAA-compliant session link from tdntcounseling@tdntsocialservices.org. If we don’t receive your health/EAP insurance and payment card information (your INTAKE/Sign Up form) or your payment for this session, we’ll (unfortunately) not be able to meet for a paid session. Your EAP/health insurance must cover your session to to be valid. Otherwise, you are Self-Pay (out-of-pocket). 6. Do you offer Consultations and are they free? [next] There are times when we do offer Consultations. You will either book those online from third party websites or request those on the Admission or INTAKE/Sign-Up form on our website. Consultations are paid and not free unless you’ve requested a free consultation from us directly, beforehand and we wrote to you from tdntcounseling@tdntsocialservices.org to confirm that your specific consultation is free before your session. The Consultation Fee Schedule is as follow: *for Insurance Pay if clinical work is completed $1-$3.84 Plus your copay/coinsurance/co-deductible *for Cash Pay $39.38 per 7-16 minute sessions $47.55 per 17-30 minute sessions $55.96 per 31-38 minute sessions $64.37 per 39-56 minute sessions $73.23 per 57-60+ minute sessions We currently offer a huge DISCOUNT on Consultations to support our community members and encourage them to reach out for help and for mental health support. This Discount is scheduled to last from 5/1/25 to 7/31/25 or longer!! Ask Us! For this period, we are offering all Cash Pay consultation sessions at $39.38 per session, when the sessions last between 7 to 45 minutes. Insurance Pay when clinical work is completed is still between $1 to $3.84 Plus your copay/coinsurance/co-deductible, unless we’ve discussed with you that you’d only be charged $1 for that session. Ask us for any questions you may have! Email tdntcounseling@tdntsocialservices.org. 7. What is the INTAKE/Sign Up form and why is it important that I complete this form in order to receive services or to be seen even for the Consultation? [next] Some answers about our INTAKE/Sign-Up form, which is our Admission form! So, Service or Treatment is not contingent on you completing the Intake and Consent Forms, or our Policy forms. You can give consent without first completing these forms, although we encourage you to complete those. However, admission or confirmation of appointments is contingent upon you completing our INTAKE/Sign Up form! Please understand that our INTAKE/Sign Up form is our Admission form!!! We do require this form or at least your demographics and payment method details to our email address in order to admit you into our outpatient treatment care and provide you with services. Your demographics are your identifiable information to link your treatment case or treatment account to you; and your payment method details would include your health insurance or EAP insurance details as well as your payment card or bank account to place on file. We have to verify and validate your insurance and other payment details before we can admit you into treatment like other healthcare providers do. We are not an emergency service although we provide mental health crisis sessions. We provide services based on prescheduled tasks, sessions and appointments. Even if we conditioned to provide free services to you, we do require this Admission form (INTAKE/Sign-Up). It is an admission form and has the required information in order for us to enter you into the system and admit you into treatment. It is not like the Intake or Consent forms. Whenever you cannot complete the INTAKE/Sign Up form yourself for whatever reason, you can always have someone else complete this form on your behalf. It could be a parent, guardian, family member, friend, representative, case manager, lawyer or someone you trust who can help you. We can also have our Therapists help you complete this form in the session before clinical work begins. Please see more information in our TDNT Counseling Services Forms page. The following is an example of a conversation that occurred in May 2025, about our INTAKE/Sign Up form and admission as well as fitness and a discharge plan. It will give you a clearer idea of the importance of our INTAKE/Sign Up form and encourage you to complete it before your first session: Billing Department: Your Consultation for Service (thru TDNT Social Services, Inc.) Greetings, ******** ********! You are receiving this message because: A patient attempting to admit into our Practice and into our Therapist’s caseload has identified you as a representative, a family member or someone to help her complete the Sign Up form in order for her to be admitted and/or continue treatment. The following is a copy of the message sent to the patient attempting to admit and/or continue treatment with our Therapist in this Practice. Good morning, ******* *! How are you? We see that you’re interested in signing up for service with one of our TDNT Counseling Services therapists at TDNT Social Services, Inc. Our therapist is extremely excited and glad to work with you clinically to help address your presenting needs for treatment. Please visit our website https://tdntsocialservices.org/tdnt-counseling-services and complete the Sign Up and Intake Form at the top of the page, if you hadn’t done so already. We need your Sign Up form to schedule your next appointment and have our therapist see you. If you hadn’t done so already, Our Consent Forms are here as well for your review and signature: Review & Sign to Consent: 1. Client Services Agreement; 2. Informed Consent; 3. Telehealth Consent; 4. Email/Text Consent; 5. Notice of Privacy Policies; 6. Guidelines for Emergency; 7. Release of Information (PHI) Form; 8. Collateral Contact Form; 9. Initial Pre-Consultation & Attendance Policy; 10. No-Show Reminder & Resources 11. Patient Safety Plan You may have been sent more information as well as those consent forms in a separate email, which you would initial/sign and complete, if you hadn’t done so already. For more questions on the Sign Up form, the Intake Form and the consent forms from us through our email, our website and through any 3rd party billing, please do not hesitate to reach out and we will be glad to answer those for you. You can also reach your therapist through this email address; your message will be securely and directly routed to the therapist. In the meantime, have a great rest of your day and we look forward to working with you. Regards, ATTN: TDNT Counseling Services TDNT Social Services, Inc. 1445 Woodmont Ln NW #998, Atlanta, GA 30318 (Telehealth Only; No In-person Visits) Mailing Only: PO Box 2213, Belle Glade, FL 33430 https://tdntsocialservices.org/tdnt-counseling-services tdntcounseling@tdntsocialservices.org Text Line: 954-324-7843 [txt & vm]; 4089564728 & 5612920220 [invalid] Skype: TDNT Counseling Services CONFIDENTIALITY NOTICE: The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any use, disclosure, dissemination, distribution or copying of any portion of this message or any attachment is strictly prohibited. If you think you have received this e-mail message in error, please notify the sender at the above e-mail address, and delete this e-mail along with any attachments. Thank you. Good morning, ******* *! Welcome to TDNT Counseling Services at TDNT Social Services Inc! We’re glad you’ve requested or scheduled a Paid Session with our Independent Practice! We see that you’ve requested to sign up for services not directly through our Independent Practice at this time but externally sourced. Thank you for reaching out! If you are externally sourced by some specific third party companies, you may face additional policies or different treatment procedures while on our caseload. Once you are enrolled in our program, we are your Clinical Service Provider. Please send any questions you have about our service to our email. We’ll be glad to assist. Upon requesting an initial session, please complete the Sign Up form on our website tdntsocialservices.org/tdnt-counseling-services to Sign Up, confirm or schedule your current or next session(s), if you hadn’t done so already. You may also Book an Appointment online at your convenience. Our standard Self-Pay price is $145.24 per session. We offer more affordable Sliding Scale and Nonprofit Program plans based on need and eligibility, starting at $39.14 per session or less if you enroll in our monthly payment plans. Visit our website for more or Ask Us! If you are using your EAP or health insurance to help you pay for services, you can visit our Pay Sessions link, locate your specific copayment amount to pay your copay or coinsurance [Insurance Copay Processing: Individual Therapy $]. Then, click Book an Appointment and select the EAP or the Health Insurance plan to schedule your session(s) [Insurance Copay Processing or EAP Insurance Processing]. You will need to enter your payment card in order to schedule your session(s). It is much simpler to submit the Sign Up form including the dates and times you’d like to attend and let us schedule for you. Once you send us your Sign Up form, we will attempt to verify your insurance information and your payment responsibility for services. We will send you the information we’ve obtained and what you should expect to pay us, if you’re being helped by your insurance provider or if you are out-of-pocket (Self-Pay). We will also go ahead and deduct that amount due from your payment card on file in order to cover your past session(s) or schedule your next session(s). You authorized the charges on your card when you submitted your Sign-up form to us. If you would rather reschedule or cancel, please do so by contacting us. The Cancellation & Refund Policy remains in full effect. Please review those for more information and ask us any questions you may have. We encourage you to complete the Intake and Consent/Policy forms on our website (also via email), if you hadn’t done so already. Once you Sign Up , you’ll receive an email confirmation that your session has been scheduled with your HIPAA-compliant session link from tdntcounseling@tdntsocialservices.org. If we don’t receive your health/EAP insurance and payment card information (your Sign Up form) or your payment for this session, we’ll (unfortunately) not be able to meet for a paid session. Your EAP/health insurance must cover your session to be valid and to help you pay. Otherwise, you are Self-Pay (out-of-pocket) and you are responsible for the entire cost of the session. You can ask us any questions you have by sending an email. Let us know what out-of-pocket plan would work best for you moving forward. We look forward to discussing your presenting needs for treatment! Have a great rest of your day! Regards, ATTN: TDNT Counseling Services TDNT Social Services, Inc. 1445 Woodmont Ln NW #998, Atlanta, GA 30318 (Telehealth Only; No In-person Visits) Mailing Only: PO Box 2213, Belle Glade, FL 33430 https://tdntsocialservices.org/tdnt-counseling-services tdntcounseling@tdntsocialservices.org Text Line: 954-324-7843 [txt & vm]; 4089564728 & 5612920220 [invalid] Skype: TDNT Counseling Services CONFIDENTIALITY NOTICE: The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any use, disclosure, dissemination, distribution or copying of any portion of this message or any attachment is strictly prohibited. If you think you have received this e-mail message in error, please notify the sender at the above e-mail address, and delete this e-mail along with any attachments. Thank you. Client/Patient or Representative: Hello I am *******’s aunt I am utilizing my EAP since ******* resides with me, I am utilizing my EAP since ******* resides with me. What information do you need because EAP covers sessions. Billing Department: CONFIDENTIAL// RE TDNT Counseling Services – Future Scheduling Greetings, ******** ********! We are writing you because you are listed as a contact, a representative and aunt for a client, ******* *. Thank you for your inquiry and your reply about *******’s admission and billing concerns. As stated in our policies posted on our website, on ****’s website, sent to ******* and sent here to you as well, in order for us to admit patients or listening clients into our independent Practice (TDNT Counseling Services at TDNT Social Services, Inc.), the patients or clients must first complete, authorize and validate their insurance and payment information on the Sign Up form by: 1. visiting our website https://tdntsocialservices.org/tdnt-counseling-services and 2. clicking the Sign Up button. 3. Then proceed to complete the form and submit it. When we don’t receive that Sign Up form, we can have our therapists help the patient or client complete it in session sometimes. The patient or client can also have someone they know to help them complete the Sign Up form as well before their next session. If a patient/client representative, or a patient/client does not complete the Sign Up form before or in the session with the therapist, we cannot continue with treatment since we cannot verify or validate insurance and payment details to confirm their appointments. **** is a third party billing and claim processing company that we contracted a paid membership with; and they do not manage our Practice. We manage our own Practice and we are the patient or client’s Clinical Service Provider. Therefore, we require intake information as well as demographics and payment details on file. **** has requested the patient/client’s EAP and insurance details from us, the Practice, and we currently do not have the validated insurance information for ******* *, currently. Please complete the Sign Up up form so we can validate and provide these details to ****. This Practice Policy helps to smoothly transition and admit patients or clients into our Practice. That is our policy in our independent Practice, which is disclosed and posted online, in writing and via emails/texts to assist patients and clients receive good quality care. ******* * stated in session with the Therapist that she did not have the policyholder’s information or any of the EAP insurance authorization details; and that you are her aunt and would be completing the Sign Up form for her. Please understand that there are no pressure to complete any forms, especially on our websites or from our emails or texts. The Intake Form or Consent Forms are not conditioned on anyone paying for or receiving services from our Practice and Therapist caseload at all. However and in order for us to admit or continue treatment, the Sign Up form must be completed and validated to confirm appointments. We must receive the information as well as the authorization to validate insurance and payment details, unless we have directly conditioned to provide you with totally free (no insurance pay and no self-pay service), which has not been conditioned as of this time. Even then, a Sign Up form must be completed to confirm appointments. We do offer very low Self-Pay payment plans that are very affordable to help patients pay for their treatment. We offer sliding scales for all patients/clients, as well as nonprofit program plans for currently paying clients/patients. If incorrect or incomplete insurance information was provided and/or a patient’s insurance provider does not cover their service cost for whatever reason, the patient or client is responsible for the entire cost of the service or session. We have to have the validated Sign Up form on file to authorize service and confirm service. Currently, we cannot continue *******’s treatment until she validates her insurance and payment details for treatment. We need to verify the correct details of her EAP insurance coverage including the policy holder’s information and a payment card or bank account information on file. *******’s treatment will promptly resume once we have a Sign Up form on file for her. We look forward to hearing back from you and ******* regarding this important billing and treatment matter. But, please take your time and think on it as far as how you both would like to proceed with *******’s treatment and completing the information. We want to work with ******* and are glad to continue her treatment. We simply need the Sign Up form completed and validated, however in order for us to do so. For any questions or concerns, please do not hesitate to reach out! Have a great rest of your day! Regards, ATTN: TDNT Counseling Services TDNT Social Services, Inc. 1445 Woodmont Ln NW #998, Atlanta, GA 30318 (Telehealth Only; No In-person Visits) Mailing Only: PO Box 2213, Belle Glade, FL 33430 https://tdntsocialservices.org/tdnt-counseling-services tdntcounseling@tdntsocialservices.org Text Line: 954-324-7843 [txt & vm]; 4089564728 & 5612920220 [invalid] Skype: TDNT Counseling Services CONFIDENTIALITY NOTICE: The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any use, disclosure, dissemination, distribution or copying of any portion of this message or any attachment is strictly prohibited. If you think you have received this e-mail message in error, please notify the sender at the above e-mail address, and delete this e-mail along with any attachments. Thank you. Client/Patient or Representative: Could you please give a call so I could get clarification. EAP. From Piedmont has stated no card is required because all services are covered by EAP. Greeting is there a number to reach someone via phone to speak with Billing Department: CONFIDENTIALL// RE TDNT Counseling Services – Future Scheduling Greetings, ******** ********! We are writing you because you are listed as a contact, a representative and aunt for a client, ******* *. Thank you again for your inquiry and your reply about ******* *’s admission and billing concerns. We completely understand that you shared with us information concerning EAP from Piedmont does not require a payment card on file. Unfortunately and as stated previously, our independent Practice does require a payment card or bank account information on file for admission and for continued treatment. We also need your health insurance and/or EAP insurance details on file, because without it we cannot bill your EAP provider in the first place to cover service costs. That is also in case the EAP provider does not cover or pay for the service. As you’re aware, patients or clients are responsible for service costs that insurance providers do not cover. Payment arrangements, reduced fees, sliding scale plans and program plans can always be discussed to help patients or clients meet their payment responsibilities. To reiterate and help further clarify, we do not work for **** or any other organizations or hospitals at this time. We are independent in this Practice, while managing services and billing. We pay and contract memberships with third party organizations like **** to assist us with potential client matches and some claim submissions whenever possible. So, we require patient information directly from the clients/patients in order to provide services and sometimes to provide to these 3rd party companies like ****. While insurance providers can decide when to cover or not cover services and claims submitted based on insurance plans and policies, they cannot dictate our billing or admission processes as long as we’re following state rules and regulations and we are helping our patients. That is because they also do not manage or work for our Practice and we do not have that relationship. We are not too well-versed in other providers’ policies, but we have posted our policies online and on our website for your review. We want all of our potential clients and patients to be able to see those and ask us any questions they may have. We are glad to help. Those are our policies to help enhance quality of care for our patients. We require this information for admission because otherwise we cannot provide clinical services according to HIPAA, among other admission laws. We cannot provide service without having these details by law, unfortunately. It appears that our small independent Practice may not be a good or suitable fit for ******* * at this time, especially since it also appears that ******* * is not able to furnish proper documentation required to be admitted into our Practice and our Therapist’s caseload. ******* may be more suitable for other types of practices that do not require HIPAA-compliant patient identifiable information as well as payment methods on file. But that is something ******* and you can always discuss with some of these others practices and providers, whenever you can. We completely understand though that you may not want to provide the EAP insurance information. We do need it though along with payment card or bank account in order to admit or continue service. Thank you for sharing this detail with us here today. We have already processed a discharge for ******* * due to billing and possible nonpayment issues, as discussed with her on 5/*/25; and as part of the discharge plan, we were waiting for the Sign Up form that ******* said you would be completing and submitting before her next session to consider re-admission. As of this time, it appears that ******* is not going to provide documentation required to re-admit her into the caseload. With this, we encourage ******* to seek continued care as well as additional support from her communities as well as her support system among other providers. We are always here to care for ******* should she be able to resume her treatment by providing required documentation. We thank you so much for your time and we thank ******* for reaching out and giving treatment a chance. Treatment was discontinued at this time due to admission fitness as well as billing issues; but it’s important to not give up and continue to seek care until ******* finds a good or better match. We welcome ******* to return at any time should she want to speak to a professional and receive quality care from us. We are here for you! You simply have a wonderful rest of your day! Take care. Regards, ATTN: TDNT Counseling Services TDNT Social Services, Inc. 1445 Woodmont Ln NW #998, Atlanta, GA 30318 (Telehealth Only; No In-person Visits) Mailing Only: PO Box 2213, Belle Glade, FL 33430 https://tdntsocialservices.org/tdnt-counseling-services tdntcounseling@tdntsocialservices.org Text Line: 954-324-7843 [txt & vm]; 4089564728 & 5612920220 [invalid] Skype: TDNT Counseling Services CONFIDENTIALITY NOTICE: The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any use, disclosure, dissemination, distribution or copying of any portion of this message or any attachment is strictly prohibited. If you think you have received this e-mail message in error, please notify the sender at the above e-mail address, and delete this e-mail along with any attachments. Thank you. Client/Patient or Representative: What is the number to reach out to Billing Department: CONFIDENTIAL// RE TDNT Counseling Services – Our Contact Info Greetings, ******** ********! We are writing you because you are listed as a contact, a representative and aunt for a client, ******* *. Our Practice number is 954-324-7843 (text/voicemail); but email is preferred at tdntcounseling@tdntsocialservices.org. The only way we take information is via our HIPAA-compliant email tdntcounseling@tdntsocialservics.org and online forms; but some information can be sent via text/voicemail to 954-324-7843. You can also write to our mailing address found on our website: https://tdntsocialservices.org/tdnt-counseling-services. We do not typically take payment information over the phone, but through our clinical and admin forms. The patient or client can also provide the information to the Therapist during the session as well, which will be entered on our clinical or admin forms at that time. A parent or legal guardian can also provide this information to the patient so that he/she can give it to us as well. If you prefer to speak information into the phone versus typing it on our forms, please call 954-324-7843 and leave us a clear and detailed voice message with the information. We may be able to schedule you a call back or write to you. We mostly communicate in writing. Have a great rest of your day! Regards, ATTN: TDNT Counseling Services TDNT Social Services, Inc. 1445 Woodmont Ln NW #998, Atlanta, GA 30318 (Telehealth Only; No In-person Visits) Mailing Only: PO Box 2213, Belle Glade, FL 33430 https://tdntsocialservices.org/tdnt-counseling-services tdntcounseling@tdntsocialservices.org Text Line: 954-324-7843 [txt & vm]; 4089564728 & 5612920220 [invalid] Skype: TDNT Counseling Services CONFIDENTIALITY NOTICE: The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any use, disclosure, dissemination, distribution or copying of any portion of this message or any attachment is strictly prohibited. If you think you have received this e-mail message in error, please notify the sender at the above e-mail address, and delete this e-mail along with any attachments. Thank you. The following is an example of a conversation that occurred in October 2025, about our INTAKE/Sign Up form and admission as well as fitness and a discharge plan. It will give you a clearer idea of the importance of our INTAKE/Sign Up form and encourage you to complete it before your first session: Outreach, Scheduling & Billing Department: Your Consultation for Clinical Service (thru the Practice: TDNT Social Services, Inc.) Greetings & Good Day, ***** *****! Our Practice wishes you well and wants to assist you in maintaining your wellness. We see that you’re interested in signing up for service with one of our TDNT Counseling Services therapists at TDNT Social Services, Inc. You may have reached out to us via: TDNTSocialServices.org, Your Health Insurance Provider, Doctor, VitaDox, Psychology Today, Alma, Therapy Den or others. To schedule your appointment or to confirm your consultation and assess if you and the therapist are a good fit, Visit our website https://tdntsocialservices.org/tdnt-counseling-services and complete the INTAKE/ Sign Up and Clinical Intake forms at the top of the page below the header, if you hadn’t done so already. Our credentialed therapist looks forward to working with you clinically to assess fitness and help address your presenting needs for treatment. The Practice must have your INTAKE/ Sign Up form to schedule and confirm your consultation or your next appointment and have the therapist see you to assess if you and the therapist are a good fit, even if you’ve already requested a session through another platform like Alma, Doctor, VitaDox, Therapy Den or others. You can also click on Book Consultation on our Practice website to book a paid consultation. If you hadn’t done so already, Our Informed Consent Forms are here as well for your review and signature; while a verbal or implied informed consent is sufficient to begin treatment starting with your consultation, and your written signature is not required, we keep these signed forms on file for your records, your clinical charts as well as for your review. Review these here and on our website so you can know (be informed): Review & Sign to Informed Consent: 1. Client Services Agreement; 2. Informed Consent; 3. Telehealth Consent; 4. Email/Text Consent; 5. Notice of Privacy Policies; 6. Guidelines for Emergency; 7. Release of Information (PHI) Form; 8. Collateral Contact Form; 9. Initial Pre-Consultation & Attendance Policy; 10. No-Show Reminder & Resources 11. Patient Safety Plan You may have been sent more information, the INTAKE /Sign Up form as well as those informed consent forms in a separate email, which you would initial/sign and complete, if you hadn’t done so already. For more questions on the INTAKE /Sign Up form, the Clinical Intake form and the informed consent forms from us through our email, our website and through any 3rd party credentialing and billing, please do not hesitate to reach out and we will be glad to answer those for you. You can also reach your therapist through this email address; your message will be securely and directly routed to the therapist. In the meantime, have a great rest of your day and your therapist looks forward to working with you. Regards, ATTN: TDNT Counseling Services TDNT Social Services, Inc. 1445 Woodmont Ln NW #998, Atlanta, GA 30318 (Telehealth Only; No In-person Visits) Mailing Only: PO Box 2213, Belle Glade, FL 33430 https://tdntsocialservices.org/tdnt-counseling-services tdntcounseling@tdntsocialservices.org Text Line: 954-324-7843 [txt & vm]; 4089564728 & 5612920220 [invalid] Skype: TDNT Counseling Services CONFIDENTIALITY NOTICE: The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any use, disclosure, dissemination, distribution or copying of any portion of this message or any attachment is strictly prohibited. If you think you have received this e-mail message in error, please notify the sender at the above e-mail address, and delete this e-mail along with any attachments. Thank you. Greetings & Good Day, ***** *****! Welcome to TDNT Counseling Services at TDNT Social Services Inc! We’re glad you’ve requested or scheduled a Paid Session with our Independent Practice! We see that you’ve requested to sign up for services not directly through our Independent Practice at this time but externally sourced. Thank you for reaching out! If you are externally sourced by some specific third party companies, you may face additional policies or different treatment procedures while on our caseload. Once you are enrolled in our program, we are your Clinical Service Provider. Please send any questions you have about our service to our email. We’ll be glad to assist. Upon requesting an initial session, please complete the INTAKE /Sign Up form on our website tdntsocialservices.org/tdnt-counseling-services to verify, Sign Up, confirm or schedule your current or next session(s), if you hadn’t done so already. You may also Book an Appointment online at your convenience. Our standard sliding-scale Self-Pay price is $145.24 per session. We offer more affordable Sliding Scale and Nonprofit Program plans based on need and eligibility, starting at $39.14 per session or less if you enroll in our monthly payment plans. Visit our website for more or Ask Us! If you are using your EAP or health insurance plan to help you pay for services, It is much simpler to submit the INTAKE /Sign Up form including the dates and times you’d like to attend as well as other instructions you wish us to follow and let us schedule for you. You can also visit our Pay Sessions link, locate your specific copayment amount to pay your copay or coinsurance [Insurance Copay Processing: Individual Therapy $]. Then, click Book an Appointment and select the EAP or the Health Insurance plan to schedule your session(s) [Insurance Copay Processing or EAP Insurance Processing]. You will need to enter your payment card in order to schedule your session(s). It is much simpler to submit the Verification/ Sign Up form including the dates and times you’d like to attend and let us schedule for you. Once you send us your INTAKE /Sign Up form, we will attempt to verify your insurance information and your payment responsibility for services. We will send you the information we’ve obtained and what you should expect to pay us, if you’re being helped by your insurance provider or if you are out-of-pocket (Self-Pay). We will also go ahead and deduct that amount due from your payment card on file in order to cover your past session(s) or schedule your next session(s). You authorized the charges on your card when you submitted your INTAKE /Sign-up form to us. If you would rather reschedule or cancel, please do so by contacting us. The Cancellation & Refund Policy remains in full effect. Please review those for more information and ask us any questions you may have. We encourage you to complete the Intake and Consent/Policy forms on our website (also via email), if you hadn’t done so already. Once you confirm your appointment request with your INTAKE/ Sign Up form, you’ll receive an email confirmation that your session has been scheduled with your HIPAA-compliant session link from tdntcounseling@tdntsocialservices.org. If we don’t receive your health/EAP insurance and payment card information (your INTAKE/ Sign Up form) or your payment for this session, we’ll (unfortunately) not be able to meet for a paid session. Your EAP/health insurance must cover your session to be valid and to help you pay. Otherwise, you are Self-Pay (out-of-pocket) and you are responsible for the entire cost of the session. You can ask us any questions you have by sending an email. Let us know what affordable out-of-pocket plan would work best for you moving forward. We look forward to discussing your presenting needs for treatment! Have a great rest of your day! Regards, ATTN: TDNT Counseling Services TDNT Social Services, Inc. 1445 Woodmont Ln NW #998, Atlanta, GA 30318 (Telehealth Only; No In-person Visits) Mailing Only: PO Box 2213, Belle Glade, FL 33430 https://tdntsocialservices.org/tdnt-counseling-services tdntcounseling@tdntsocialservices.org Text Line: 954-324-7843 [txt & vm]; 4089564728 & 5612920220 [invalid] Skype: TDNT Counseling Services CONFIDENTIALITY NOTICE: The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any use, disclosure, dissemination, distribution or copying of any portion of this message or any attachment is strictly prohibited. If you think you have received this e-mail message in error, please notify the sender at the above e-mail address, and delete this e-mail along with any attachments. Thank you. CONFIDENTIAL// RE: Additional Outreach from TDNT Counseling Services at TDNT Social Services, Inc. Below is a message from our Practice’s clinical outreach team: “Greetings & Good Day, ***** *****! We noticed that you recently completed your group health insurance information, submitted to the Therapist in our Practice, through Alma which is a 3rd party platform this Practice utilizes. You received an estimated copay with an asterisk from Alma, which is a 3rd party platform this Practice utilizes at this time. Should you be admitted into treatment with this Therapist in our Practice /caseload, your exact copayment/cost share responsibility due to this Practice for insurance billing would be $64.46, which must be paid directly to the Practice that’s providing clinical services to you; and we require this copay/cost share paid to us in order for this Therapist to provide services to you, even if we utilize other 3rd party platforms like Alma. We also noticed that you did not respond back to our outreach and that you did not complete the Practice’s INTAKE /Sign Up form indicating that you are not interested in being admitting into treatment with this Therapist or this Practice. We understand. Should you want to be admitted into treatment with this Therapist in this Practice in the future, please complete the INTAKE /Sign Up form and we will be glad to assist. You can find this form on this Practice website: https://tdntsocialservices.org/tdnt-counseling-services and click on INTAKE /Sign Up. For any assistance with the form or any other questions you may have regarding this Therapist or this Practice, email tdntcounseling@tdntsocialservices.org. Have a great rest of your day! Regards, ATTN: TDNT Counseling Services TDNT Social Services, Inc. 1445 Woodmont Ln NW #998, Atlanta, GA 30318 (Telehealth Only; No In-person Visits) Mailing Only: PO Box 2213, Belle Glade, FL 33430 https://tdntsocialservices.org/tdnt-counseling-services tdntcounseling@tdntsocialservices.org Text Line: 954-324-7843 [txt & vm]; 4089564728 & 5612920220 [invalid] Skype: TDNT Counseling Services CONFIDENTIALITY NOTICE: The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any use, disclosure, dissemination, distribution or copying of any portion of this message or any attachment is strictly prohibited. If you think you have received this e-mail message in error, please notify the sender at the above e-mail address, and delete this e-mail along with any attachments. Thank you. Client/Patient or Representative: Copay Hello, I was sent an email stating I would have a copay of $64 but piedmont through their EAS program, is paid free for us. Is this correct? Thank you Outreach, Scheduling & Billing Department: Greetings & Good Day, ***** *****! Thank you for your inquiry. We understand you received our Practice email with your estimated copay/cost share if you use your group health insurance to cover services once you are admitted into treatment with this Therapist and Practice. And you also wanted to know if Piedmont through their EAP program is paid free for you. This may be a loaded question and we will take time here to respond as best as we can regarding our independent Practice and your clinical treatment when you enroll in our caseload. So, the first thing we would like to address is to distinguish between EAP and group health insurance. So, it’s important as it appears and as we mentioned previously that you’ve only provided this Practice with your group health insurance plan details (policyholder name, member ID and DOB) through Alma. As we speak now, this Practice does not currently have your EAP coverage data/details (authorization code, # of sessions remaining) and so we cannot use your EAP to provide you with EAP covered services, unless you request a new EAP authorization code from your provider and provide this to us directly using our INTAKE/Sign Up form or via email tdntcounseling@tdntsocialservices.org. We will also try to send you another separate/new request for EAP details through Alma and hope that helps or works. We don’t believe Alma’s platform allows you to enter all of the EAP details; and Alma requires us to get the EAP details directly from you so that we can provide the details to Alma. This is why we request the INTAKE/Sign Up form from you. We’re not sure if you provided your EAP details through Alma and maybe to another provider, but you did not provide this EAP data to this Therapist or to us, this Practice; we haven’t received your EAP details through Alma and not directly to this Practice using our HIPAA-compliant and secure INTAKE /Sign Up form. So, if you were to enroll into treatment with this Therapist and this independent Practice, we would have to bill through your group health insurance coverage which requires the copay/cost share and is not 100% free. This is determined by your group health insurance provider. They let us know what portion of the payments you would cover and what portion they would cover for your claims. They never cover 100% of our fees but will definitely not cover 100% of the “agreed rate” if you have a copay and you have not met all of your out-of-pocket max. So, if you had met all of your out-of-pocket max at this time, your copay/cost share would be $0 plus $1 for scheduling. So, once you meet all of your out-of-pocket max responsibility for your current group health insurance plan, you would pay us $1 only for services and appointments. We still require your payment method and details on file in order to admit you into treatment and schedule your appointments. If you had not met your deductible and it applies, you would have to pay 100% out of pocket since your insurance would not help you pay at all. But it appears either you have met your deductible or it doesn’t apply, and so you don’t have to pay 100% out-of-pocket but must pay a smaller portion which is your copay/cost share responsibilities. But since you have not met your out-of-pocket max responsibility, you have a remaining $4000 or more so far to meet before your insurance will cover 100% of the agreed rate for you and you won’t need to pay anything other than the $1 scheduling fee. So that was for your group health insurance plan which is the only information we have for you so far. That was provided to us through Alma. Regarding your EAP coverage, we do not have that information. You can provide it to us via the INTAKE/Sign Up form if you’d like and we can check for you. You’d simply tell us the authorization code as well as the number of EAP sessions remaining since you’ve already provided your name, date of birth, member ID and that you are the policyholder. So, we can’t answer more on your EAP coverage because we do not have that information from you and cannot verify or confirm. But once you provide your EAP details and we verified you are covered, you’ll only be responsible for $1 scheduling fee. We still require your payment method and details on file before we can schedule you, even though you’re only paying us $1. So essentially, your EAP provider will have covered most services provided to you through cost share but you would owe us $1 to schedule/confirm/verify etc for your clinical treatment. This is how we do it and we are legally allowed to and must do it this way. We are only able to bring you great quality care so far through this Practice by structuring our billing and scheduling this way. That is the way to do it correctly. So, with EAP coverage you’d only be responsible for $1 to our practice for each claim because of scheduling, confirmation and verification checks etc. For your group health insurance, you’d be responsible for your copay/cost share and it’s determined by your insurance plan provider; it can be reduced to $0 plus $1 scheduling if you’ve met all of your out-of-pocket max or your insurance carrier determined you don’t have a copay or coinsurance. Regarding whether Piedmont is the one who pays for your EAP: We’re sorry but we don’t know since we don’t have the details. It may be that Piedmont (if you work for them or through some other program) is paying for your coverage, but we don’t know this. If you provide us with your EAP details, then we can look further into this. As a gentle reminder and disclosure as well as disclaimer, our Practice and Piedmont are separate entities, we do not work for Piedmont and Piedmont does not work for us. We wouldn’t know additional details because of that. But once you provide us with the details required for us to further assist you, we are very glad to assist you further. So complete the INTAKE/Sign Up form or provide details to our HIPAA-compliant email tdntcounseling@tdntsocialservices.org We hope this detailed response is helpful. Ask us for further clarification or any other questions you may have. And have a great rest of your day! Regards, ATTN: TDNT Counseling Services TDNT Social Services, Inc. 1445 Woodmont Ln NW #998, Atlanta, GA 30318 (Telehealth Only; No In-person Visits) Mailing Only: PO Box 2213, Belle Glade, FL 33430 https://tdntsocialservices.org/tdnt-counseling-services tdntcounseling@tdntsocialservices.org Text Line: 954-324-7843 [txt & vm]; 4089564728 & 5612920220 [invalid] Skype: TDNT Counseling Services CONFIDENTIALITY NOTICE: The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any use, disclosure, dissemination, distribution or copying of any portion of this message or any attachment is strictly prohibited. If you think you have received this e-mail message in error, please notify the sender at the above e-mail address, and delete this e-mail along with any attachments. Thank you. |
TDNT Social Services, Inc. 