Fees
Standard Fees
The standard fee is $100/50 minute session and the standard intake fee (2-3 hours) is $200.
UCSB and SBCC Students pay only $25 per session, the lowest rate for our community clients.
Sliding Scale
If you cannot afford our standard fees, a reduced fee may be set using our sliding scale.
The sliding scale ranges from $25 to $100 per 50 minute session and from $25 to $100 per intake. Fees are set with reference to gross annual household and number of dependents.
Additional Fee Adjustments
Additional fee adjustments (going below scale) may be requested for individuals, couples, and families with extremely low or no income. Please let us know about your circumstances when you call for an intake and we will provide you with an Application for Fee Adjustment.
Payment Types Accepted
During this unusual time of COVID-19, the Hosford Clinic only accepts payment in the form of a Visa/Mastercard credit/debit card via the Telemed Fee link at the top of this page. Unfortunately, we cannot take credit card payments by phone.
Appointments
The Hosford Clinic offers afternoon and evening appointments (scheduled on the hour). To schedule an appointment please call (805) 893 – 8064.
Cancellation/No show policy
If you need to cancel an appointment, please call (805) 893-8064, day or night. If we are closed, please leave us a message. If you do not cancel your appointment 24 hours in advance, you will be charged the session fee. If your clinician misses or cancels a session without advance notice, you will receive a future session at no cost.
Privacy
Information disclosed during your sessions is strictly confidential. Your written permission is required before any information about your contact with Hosford Clinic is released to anyone outside of the Clinic. This means that if your partner, family member, employer, roommate, friend, or other person contacts us about you, we will not acknowledge that we know of you. It also means if you want us to release information to someone else, we cannot do so until you complete a Release of Information Form.
However, there are four specific situations in which we are required to release information:
1. If a minor child, elderly individual, or a dependent adult is at risk of being physically or sexually abused or neglected, a clinician is required to report that information to the appropriate agency to assure the safety of the person.
2. If you present an imminent risk of serious injury to yourself, the clinician would take action to assure your safety. However the clinician is also obligated to release only as much information as is judged to be necessary to protect your safety.
3. If you threaten serious harm to another person, the clinician is required to take action to warn and protect the other person. Typically, this involves contacting the person who is being threatened and contacting the police. However, the clinician is obligated to release only as much information as is judged to be necessary to protect your safety.
4. When a release of records is court mandated.
HIPAA & CONFIDENTIALITY
A Federal law, known as "HIPAA" (the Health Insurance Portability and Accountability Act of 1996) requires health care providers to implement a comprehensive approach to protect the privacy of personal health information (PHI). There are nine parts to HIPAA, but our immediate compliance will focus on three areas:
Privacy Rule:
The Privacy Rule regulates the use and distribution of identifiable health information and gives individuals the right to determine and restrict access to their health information. Compliance with HIPAA's privacy regulations was required beginning April 14, 2003. Substantial penalties, both civil and criminal, may be imposed for non-compliance.
Security Rule:
The HIPAA Security Rule mandates that reasonable and appropriate technical, physical, and administrative safeguards be implemented with electronic identifiable health information. We must ensure the confidentiality, integrity, and availability of all electronic protected health information we create, receive, maintain or transmit. Compliance date for the Security Rule is October 16, 2003.
Transactions and Codes:
HIPAA requires DHHS to adopt standards to facilitate Electronic Data Interchange (EDI). HIPAA transaction standards apply to any health care provider that transmits any health information in electronic form.
A summary of the Act can be found at http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/index.html and at http://www.cms.gov/hipaageninfo/ by clicking on the HIPAA "Administrative Simplification" link.
UCSB Notice of Privacy Practices - Hosford Clinic
Child/Dependent Adult Consent Form
Authorization to Release Information
ETHICAL CONDUCT
All clinicians are expected to be familiar with the American Psychological Association Ethical Principles and to act in accordance with them. Supervisors are also expected to be familiar with ethical guidelines for supervisors.
WEBSITE FOR APA CODE OF ETHICS:
http://www.apa.org/ethics/code/index.aspx
DIVERSITY STATEMENT
The Hosford Clinic provides services to clients from all cultural and economic backgrounds. Clients include children, adolescents, adults, and elders. Services are frequently available in Spanish and occasionally other languages as well.