Practice policies and informed consent

Website updated October 4, 2026 · Based on the practice policies in the April 2026 Jane intake form (policy dated March 23, 2026).

Please review these policies before beginning therapy. Acknowledgement, consent, and credit-card authorization are completed through your Jane intake forms; reading this webpage does not submit your consent.

Appointments and cancellations

Please provide at least 24 hours’ notice if you need to cancel or reschedule an appointment.

Appointments cancelled with less than 24 hours’ notice, or missed without notice, will be charged the full fee for the session booked. Late-cancellation and missed-appointment fees are the client’s responsibility and may not be reimbursed by insurance providers.

Repeated missed appointments or late cancellations may result in a discussion about whether ongoing services can be maintained.

Session information

Individual therapy sessions (60 minutes): Sessions are scheduled for 60 minutes and include approximately 50 minutes of direct therapy and 10 minutes for clinical documentation and related administrative tasks.

Extended individual therapy sessions (90 minutes): Sessions are scheduled for 90 minutes and include approximately 75 minutes of direct therapy and 15 minutes for clinical documentation and case review.

Requests for a different session length must be discussed in advance so that sufficient time can be scheduled.

Fee schedule

Initial 15-minute consultation: No charge

Missed or late-cancelled consultation (less than 24 hours’ notice): $40

Individual therapy (60 minutes): $195

Extended individual therapy (90 minutes): $290

Couple therapy (60 minutes): $240

Extended couple therapy (90 minutes): $380

Report or letter writing: $195 per hour

Records review: $195 per hour

Court appearances: $195 per hour, including travel and waiting time

Late cancellation/no-show: Full fee of the session booked

Credit-card payment: $5 processing fee per transaction

Fees are informed by the suggested fee guidelines of the Ontario Association of Social Workers (OASW). Fees are subject to periodic review and may change. Clients will receive at least 30 days’ notice of fee changes.

Insurance and payment

Mental health services may be covered by your extended health benefits plan. You are responsible for confirming your eligibility, coverage limits, and reimbursement requirements directly with your insurance provider.

I do not bill provincial health insurance for psychotherapy services. Receipts are provided for eligible services and may be submitted to your insurance provider for reimbursement.

Payment is due on the date of service.

Payment can be made by e-transfer or credit card. A $5 processing fee applies to payments made by credit card. There is no additional processing fee for payment by e-transfer.

A valid credit card is kept securely on file. If payment has not been received within 48 hours of the session date, the outstanding balance will be charged to the credit card on file, and the $5 credit-card processing fee will apply.

By providing a credit card and agreeing to these policies, you authorize AE Therapy to charge the card on file for outstanding session fees, late-cancellation/no-show fees, and other agreed-upon charges in accordance with these policies, including the applicable $5 credit-card processing fee.

Mental health services may qualify as eligible medical expenses for income-tax purposes. Annual payment summaries are available upon request.

Social media

To protect your confidentiality and maintain appropriate professional boundaries, I do not accept friend, follow, or connection requests from current or former clients on personal social-media accounts.

Connecting through social media may compromise your confidentiality or blur the boundaries of the therapeutic relationship. If you have questions or concerns about this policy, please feel free to discuss them with me.

Electronic communication

Email and text messaging should generally be limited to scheduling, billing, and other administrative matters.

Please avoid sending sensitive clinical information by regular email or text, as the confidentiality and security of these forms of communication cannot be guaranteed.

I will make reasonable efforts to respond to messages in a timely manner; however, I cannot guarantee an immediate response. Email and text messaging should not be used for emergencies, crisis situations, or urgent mental-health concerns.

Use of ai tools

To support accurate and efficient clinical documentation, I may use secure, privacy-conscious Artificial Intelligence (AI) tools to assist with organizing, summarizing, or improving the clarity of my clinical documentation.

AI tools are used as a documentation aid and are not used to make clinical decisions or replace professional judgment.

Reasonable steps are taken to protect your privacy and confidentiality. Direct identifying information, such as your full name, address, or date of birth, is not intentionally entered into AI tools used for documentation support.

All clinical documentation remains my professional responsibility and is reviewed and approved by me before being entered into your clinical record.

You are welcome to ask questions about my use of AI-assisted documentation. You may also request that AI tools not be used in relation to your clinical documentation, in which case your documentation will be completed without AI assistance.

Telehealth services

Telehealth services are available to eligible clients and are billed at the same rate as equivalent in-person sessions.

Clients are responsible for confirming whether their insurance plan covers virtual psychotherapy services.

For virtual appointments, you must be physically located in a jurisdiction where I am authorized to provide services at the time of the session.

You are responsible for having a reliable internet connection, a device with a functioning camera and microphone, and a reasonably private location for your session.

If significant technical difficulties occur, we may continue the session by telephone or make another appropriate arrangement.

Please refer to the Telehealth Consent Form for additional information about the benefits, limitations, privacy considerations, and risks associated with virtual care.

Confidentiality

Information disclosed during therapy and clinical records related to your care are confidential and will not ordinarily be disclosed without your consent, except where disclosure is permitted or required by law.

I maintain clinical records and take reasonable safeguards to protect personal health information in accordance with applicable Ontario privacy legislation and my professional obligations.

Limits to confidentiality

There are circumstances in which I may be legally or professionally required to disclose information without your consent. These may include:

Risk of serious harm: If there is a serious and imminent risk of harm to you or another identifiable person, I may take appropriate steps to protect those involved, which can include contacting emergency services or other appropriate individuals or authorities.

Child protection: If I have reasonable grounds to suspect that a child may be in need of protection, I am legally required to report this information to the appropriate child protection authority.

Legal proceedings: Clinical records or information may be subject to a valid court order or other legal requirement. I will make reasonable efforts to protect your privacy while complying with my legal obligations.

Insurance and third-party requirements: Information will only be provided to insurers or other third parties when appropriately authorized or otherwise permitted or required by law.

Professional consultation: I may consult with other qualified professionals for clinical or professional purposes. Reasonable steps will be taken to protect your identity and confidentiality.

Please refer to my Privacy Policy for additional information regarding the collection, use, storage, and disclosure of personal health information. Website privacy policy. Contact Angelica for information about clinical-record privacy arrangements.

Termination of services

Therapy may end when treatment goals have been met, when you choose to discontinue services, or when either you or I determine that treatment is no longer appropriate or beneficial.

I may also consider terminating services when:

There are repeated missed appointments or late cancellations.

An outstanding balance remains unpaid.

Practice policies or therapeutic boundaries are repeatedly not followed.

Your needs fall outside my scope of practice, competence, or ability to provide appropriate care.

Another service or provider would better meet your clinical needs.

Where clinically appropriate, I will discuss termination with you and provide reasonable assistance with referrals or continuity of care.

If you do not schedule or attend an appointment for four consecutive weeks, and we have not made another arrangement in advance, I may consider the therapeutic relationship discontinued and your file inactive.

You are welcome to contact me in the future regarding availability if you wish to resume therapy.

Emergency and crisis support

AE Therapy is not an emergency or crisis service, and I cannot guarantee immediate availability outside scheduled appointments.

If you are experiencing an immediate emergency or are at imminent risk of harming yourself or someone else, call 911 or go to your nearest emergency department.

For crisis or urgent mental-health support, you may also contact:

9-8-8 Suicide Crisis Helpline: Call or text 988, available 24/7 across Canada.

ConnexOntario: 1-866-531-2600 for 24/7 mental-health and addiction information and support.

COAST Halton (Crisis Outreach and Support Team): 1-877-825-9011

ROCK Crisis Services (children and youth): 905-878-9785

Joseph Brant Hospital Emergency Department: 1245 Lakeshore Road, Burlington, Ontario

These services operate independently of AE Therapy.

Client feedback and concerns

I value your feedback about your experience with therapy. If you have questions or concerns regarding your treatment or services, I encourage you to discuss them with me whenever you feel comfortable doing so.

Changes to practice policies

These policies may be updated periodically to reflect changes in practice procedures, professional requirements, or applicable regulations.

When a change materially affects your services, fees, or responsibilities, reasonable notice will be provided. Fee changes will ordinarily be communicated at least 30 days in advance.

Acknowledgement and consent

By signing below, you acknowledge that you have reviewed and understood these practice policies, including the policies regarding fees, payment, the credit card on file, cancellations, confidentiality, electronic communication, telehealth, and the use of AI-assisted documentation.

You acknowledge that payment is due on the date of service and that, if payment has not been received within 48 hours of the session date, you authorize AE Therapy to charge the outstanding balance to the credit card on file, including the applicable $5 credit-card processing fee.

You have had an opportunity to ask questions about these policies and consent to receiving services under the terms described above.

Credit card authorization consent

I understand and agree that my credit card on file may be charged for missed appointments, late cancellations (less than 24 hours’ notice), and any outstanding session balance that remains unpaid more than 48 hours after the session date. I understand that a $5 credit-card processing fee will apply when my credit card is charged.

By providing a credit card on file and agreeing to this policy, I authorize AE Therapy to process these charges in accordance with the Practice Policies and Informed Consent.