Welcome to Middle Path Counseling MO/KS
Thank you for choosing our practice for your mental health care. Below are our updated 2026 Practice Policies, which must be reviewed annually by all clients. If you have any questions or concerns, please contact us at rachael@middlepathmo.com.
NEW CLIENT INFORMATION
All new clients (ALL CLIENTS) will begin with a 30-minute Screening/Intake (90791) appointment. This session includes:
- Review of insurance benefits and estimated therapy costs
- Discussion of practice policies, fees, and scope of care
- Introduction to our specialized treatment tracks (Adherent DBT, DBT-Informed Care, and EMDR)
Following this appointment, the next 3–4 sessions will focus on intake and assessment, during which your therapist will gather detailed information about your history, strengths, current challenges, and therapy goals.
OUR SPECIALIZED TREATMENT TRACKS
Middle Path Counseling offers specialized, evidence-based care tailored to your clinical needs and level of support.
| Program | What It Includes | Best For |
|---|---|---|
| Fully Adherent DBT | Individual therapy, weekly DBT Skills Training Group, and 24/7 phone coaching | Clients with high-risk behaviors, chronic emotional dysregulation, or those requiring intensive, structured support |
| DBT-Informed Care | Individual therapy sessions incorporating DBT skills without group or coaching | Clients who have completed a full DBT program or who need targeted skills support |
| EMDR Therapy | Structured 8-phase trauma treatment model | PTSD, trauma, phobias, and distress related to past life experiences |
Your therapist will collaborate with you to determine the most appropriate treatment track.
USE OF SECURE TECHNOLOGY & AI
To enhance clinical care and administrative efficiency, Middle Path Counseling uses HIPAA-compliant Artificial Intelligence (AI) tools within select software systems.
- AI tools may be used for clinical documentation, transcription, and administrative tasks
- All systems meet federal privacy and security standards to protect your Protected Health Information (PHI)
THERAPY PARTICIPATION POLICY
Because DBT and EMDR are specialized, structured treatment models, clients are strongly encouraged to work with only one individual therapist during active treatment.
Receiving concurrent individual therapy elsewhere may interfere with treatment effectiveness and continuity of care. Please inform your therapist if you are also participating in:
- Medication management
- Intensive Outpatient (IOP) or Partial Hospitalization (PHP) programs
- Family or couples therapy
APPOINTMENTS & CANCELLATIONS
- 24-Hour Cancellation Policy: Appointments canceled or rescheduled with less than 24 hours’ notice will incur a fee:
- $75 – Licensed clinicians
- $40 – Master’s-level interns
- Prime-Time Cancellation Fee: Appointments scheduled after 3:00 PM that are canceled late will incur a $100 fee
- Late Arrivals: A 10-minute grace period is provided. Arrivals beyond 10 minutes may require rescheduling
- Missed Appointments:
- Two consecutive no-shows or late cancellations may result in loss of a recurring appointment time
- Four total no-shows or late cancellations may result in a 3-month pause in services or referral to another provider
SESSION LENGTH & BILLING DISCLOSURE
Standard therapy sessions are 45–53 minutes in length. Insurance billing is determined by time spent in session:
- 90832: 16–37 minutes
- 90834: 38–52 minutes
- 90837: 53+ minutes
DRUG & ALCOHOL POLICY
Clients who arrive to session under the influence of drugs or alcohol may be required to reschedule and may be subject to discharge from services.
If safety concerns arise, a secure ride (e.g., Uber) may be arranged at the client’s expense. If a client refuses to cooperate and safety is compromised, emergency services may be contacted.
PAYMENT POLICIES
- Payment Due at Time of Service: Outstanding balances must be paid before scheduling future appointments
- Late Balances: Accounts unpaid after 30 days may be charged to the card on file or referred to collections
- Self-Pay Rates:
- Licensed clinicians: $125–$150/session
- Interns: $40/session
- Administrative & Paperwork Fees: $100 for letters, FMLA forms, or disability documentation
TELEHEALTH & PRIVACY EXPECTATIONS
- Therapy sessions may not be conducted while driving or in a moving vehicle
- Clients must be in a private, HIPAA-compliant location and appropriately dressed
- Training & Supervision Recordings: Sessions may occasionally be recorded for training purposes. Explicit written consent is required, and recordings are deleted within 30 days
REFUSAL OR TERMINATION OF SERVICES
Middle Path Counseling MO/KS reserves the right to refuse or discontinue services due to:
- Repeated policy violations
- Non-compliance with treatment recommendations
- Disruptive or disrespectful behavior
Appropriate referrals will be provided to support continuity of care.
Last Updated: January 2026
Middle Path Counseling MO 