Mike PolissoGroup psychotherapy & consulting
Patient Rights & Privacy

Clear information before you join.

Attendance and cancellation terms, group privacy, and billing rights.

Cancellation and missed sessions

Each group is a six-session series, with 75-minute meetings at $100 per session ($600 for the full series). You may pay for the series in advance or pay per session.

Once enrolled, you are reserving a place in all six meetings. If you cancel or miss an individual meeting, the $100 session fee still applies. For advance payment, that session is not refunded or credited; for per-session payment, $100 is charged for the missed meeting. There is no additional fee on top of a prepaid session. Missed group meetings cannot be made up.

If Mike cancels a meeting, you will not be charged for that meeting; a prepaid amount will be credited toward a rescheduled meeting or refunded if it is not rescheduled. Any changes to the full-series commitment will be discussed before enrollment.

Privacy in virtual groups

Groups will meet online. Join from a private place where others cannot overhear, use headphones when possible, and do not record or photograph a meeting. The group agreement will cover these expectations before enrollment. Joining instructions and the video platform will be provided when a group is scheduled.

Confidentiality in group therapy

I am responsible for protecting client information under applicable privacy and professional rules, subject to legal exceptions. Before joining, members will review a group agreement that asks everyone to protect one another’s privacy.

There is an important limit: other group members are not bound by my professional confidentiality duties. I can set expectations and address breaches, but I cannot guarantee what another member will share outside the group. We will discuss this openly before enrollment.

Notice of Privacy Practices

The practice-specific Notice of Privacy Practices will be available here before enrollment. It will explain how health information may be used or disclosed, your rights, and how to raise a concern.

For general background, see the U.S. Department of Health and Human Services’ overview of HIPAA rights. This is not the practice’s notice.

Good Faith Estimates / No Surprises Act

Your right to a Good Faith Estimate

If you do not have insurance or choose not to use it, you generally have the right to receive a Good Faith Estimate of expected charges when you schedule care sufficiently in advance or request an estimate. An estimate is not a bill.

If you receive a bill at least $400 more than your Good Faith Estimate, you may be able to dispute it through the federal patient-provider dispute process.

More details are available from the Centers for Medicare & Medicaid Services, including how to request and use an estimate. A practice-specific contact and full notice will be added before enrollment.