Contact Us

Ready to make an appointment? You can use the form to the right, call, or email our Client Relations Specialist, Nicoleia, to get started.

Phone: 619-600-0073 xtn. 101

Email: ClientRelations@WellnessTherapySD.com

Our Office

9666 Businesspark Avenue Ste 206
San Diego, CA, 92131
United States

Right To Receive a Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

 Forms

Below you will find links to several helpful forms that are used in the office. These forms will be discussed with you by your therapist in your first meeting; however, reviewing the forms prior to your first session to help you understand what to expect may be helpful. You may print and complete the forms to bring into your first session if you choose. 

Consent to treatment

It is important that you know your rights as a patient, what to expect from therapy, and how business practices commence in the office. During your first session, your therapist will cover this consent in detail; however, you may want to review it before your first meeting in the event that you have questions or concerns.

Consent to Treatment

Notice of privacy and confidentiality

Wellness Therapy of San Diego takes your privacy seriously. The form below clearly outlines confidentiality, limits of confidentiality, and ways in which your private health information may be disclosed if at all. 

Notice of HIPPA Privacy Practices