Joel Hencken, Ph.D.

Please correct the errors described below.

Joel Hencken, Ph.D. Welcome to my office at Rainier Behavioral Health. The following information is provided to familiarize you with my practice and background. BACKGROUND: I have had training experiences in Gestalt, psychodrama, Transactional Analysis, family systems, hypnotherapy, 12-step and other approaches to alcohol and other addictions, CBT, DBT, EMDR, Mindfulness, Meditation and Spirituality, and Internalized Family Systems (IFS). I have seen many “schools” of psychotherapy arise and gradually blend into the mainstream, contributing their perspectives, insights, and techniques. Whenever I see a set of fonts, I first seek out the ampersand (&). So, I am a generalist. My earliest “specialty,” being one of the first gay grad students in clinical psych at Michigan, has been working with the LGBTQIA community (starting back when it was L&G). During the early years of the HIV epidemic I was among the first to work in therapy with AIDS patients. But I have seen so many kinds of individuals and couples over the years — artists, writers, actors, musicians, scientists, doctors, lawyers, other therapists; students and teachers; parents, pregnant women; people going through illnesses, deaths, divorces, job loss, retirement; administrators, clerks, business people; people from other countries, cultures, and languages; people with various medical conditions — that I really don’t have a specialty group. There are no guarantees that the results of any evaluation or therapy will conform to your every expectation. Effective therapy can sometimes be confusing and emotionally painful. Effective treatment and accurate assessment depend to a significant degree on your openness, your commitment to change, and your collaboration. EMERGENCY CALLS: An answering service takes all emergency calls outside of regular business hours. If it is a true emergency (self- harm or harm to others) I would suggest calling 911 or the pierce county crisis line at 1-800-576-7764. BILLING AND PAYMENT: Patients, or their responsible legal guardians, are responsible for their accounts and are expected to pay their bill when due, whether medical insurance pays for a portion or not, including charges for evaluation, printed materials, reports, letters, consultations and telephone calls. A finance charge of 1% per month may be added to any balance not paid within 60 days after the charge was incurred. When 90 days have passed without a payment, accounts may be sent to collections and the patient or legal guardian may be responsible for any additional legal and/or collection agency charges. Results of evaluations or reports may not be released until accounts are paid in full. I understand that this is an expensive treatment and I am prepared to arrange an extended payment plan. This entails a written agreement to pay a fixed amount regularly each month until the balance is paid. If regular payments stop, the balance will be considered delinquent, and finance charges and collection procedures may be instituted. Bills are sent out monthly and detail the dates of visits, the type of service provided, whether your insurance company had been billed for that visit, and all payments made into your account. If you have any questions about your bill, please contact our billing department. You are expected to pay for each session at the time it is held, unless we agree otherwise or unless you have insurance coverage. If you have insurance coverage you are expected to pay your co-pay at the time of each appointment. If you are uncertain about your co-pay I encourage you to contact your insurer. If you have any other questions on this matter I would suggest asking our office staff. INSURANCE: I am a contracted provider for many, but not all, local insurance companies. You should be sure to check with your insurer and my intake office to learn whether I am a provider for your plan. You should also learn whether you need a referral or preauthorization in order to be eligible for your mental health benefit, whether you have a separate annual deductible for mental health, and whether your mental health benefit has a maximum yearly number of visits or a maximum yearly dollar amount. My billing department will submit claims to insurance companies that I am contracted with. CHANGES TO THIS OFFICE POLICY: From time to time I may change the business policies described in this document. I will attempt to notify you of relevant changes. INFORMED CONSENT: your signature below indicates that you have read the information in this document and agree to abide by its terms during our professional relationship. INFORMED CONSENT FOR ADULTS: I hereby authorize Joel Hencken, Ph.D. a licensed psychologist, to render psychological services.

* I acknowledge I have read the financial policy above and that I am responsible for all charges regardless of any insurance coverage I have. I understand that delinquent accounts may be assigned to a credit reporting collection agency and agree to pay for all legal costs and expenses including reasonable attorney fees. By signing this Acknowledgement, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

Please note: Rainier Behavioral Health does not provide disability evaluations or court related evaluations.

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