"...fostering healing from the inside out"
Phone: (661) 889-4638
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A. Elizabeth Deeths, LMFT is an independent, private, fee for service provider of
psychotherapy. As such, she does not receive any public monies to provide therapy.
She is not affiliated with any charity, group or insurance company, although she may
be a preferred provider for some managed care organizations.
B. Payment/copayment is expected at the time of services rendered, unless other
arrangements have been made. Cash, check or credit card is the only type of
C. If I am a preferred provider for your insurance, this does not guarantee payment.
Ultimately, if your insurance or managed care organization does not pay for your
treatment visits, you the patient are responsible for the cost of therapy. Often, a
patient believes (s)he is covered for therapy when (s)he is not, or the coverage is
more limited than the patient believed. Elizabeth Deeths, LMFT will make determined
and reasonable effort to collect from your insurance company or managed care
group. You understand and agree that you, the patient, are responsible to pay the
therapy bill if the insurance company or managed care company refuses to pay for
I give permission for Elizabeth Deeths, LMFT to release any information necessary for the purpose of
claiming insurance, or other third party benefits, and I authorize payment of those benefits directly to
Elizabeth Deeths, LMFT, 5401 Business Park, South #208, Bakersfield, CA 93309. I understand that I
am financially responsible for any portion of the cost of the services not covered by third-party