For information regarding insurance acceptance, call my business office at 443.203.5177.
If you wish you may get started by downloading filling it out and bring it with you to your first appointment.
Policies for counseling and mentoring with Mary Woznysmith, LCSW-C: PDF
* Counseling sessions are scheduled on an ongoing weekly basis or bi-weekly basis. Payment is
due at the time of the session by check or cash. A receipt is issued at each session for if
needed.
If you wish me to bill your insurance company, my business office must pre-authorize your
session with the insurance company. Please call the office at 443.203.5177 to make
arrangements for insurance payment. Non-preauthorized sessions will be paid at the time of
the session.
* Snow pol icy - If Anne Arundel County schools are closed, I am closed.
* All regularly scheduled sessions are your financial responsibility. I need 48 hrs. of notice in
order not to charge you for the session. If you know that you must miss a session, I will make
reasonable efforts to reschedule sessions when cancelled in a timely manner. While I know
that at times 48 hrs advance notice is not possible, without this amount of notice you will be
charged $50 for the missed session, regardless of the reason for the cancellation. Please note
that if we can re-schedule a missed session within the same schedule week, I will waive the
missed session fee.
* If, at any time, you feel that your needs are not being met or you are not getting what you
want out of our sessions, please tell me, so we can discuss your needs and adjust your
therapy treatment plan.
* As a licensed therapist, I protect the confidentiality of the communications with my clients,
including my mentoring clients. I will only release information about our work to others with
your written permission, or if I am required to do so by a court order. There are some
situations in which I am legally obligated to breach your confidentiality in order to protect
others from harm, including (1) if I have information that indicates that a child, elderly or
disabled person is being abused, I must report that to the appropriate state agency and (2) if
a client is an imminent risk to him/herself or makes threats of imminent violence against
another person, I am required to take protective actions.
Cost:
The cost for a fifty to sixty minute initial evaluation is $130.
The cost for a fifty minute weekly individual therapy or mentoring session is $100.
The cost for a fifty-five minute bi-weekly therapy or mentoring session is $120.
Phone calls longer than 15 minutes, reports, letters, consultations with other professionals and any
other work I do on your behalf will be billed at a prorate of my hourly rate. If you plan to submit a
claim to Worker’s Compensation please inform me immediately. I reserve the right to require a
meeting with you to provide me with relevant information, prior to my writing on your behalf.
