Take note of our policies


Since we reserve the 45-60 minute appointment time for you, we ask that you give at least a 24-hour notice to cancel the appointment. It is the practice policy to charge $65 for a no-show appointment. In the event of a late cancellation, in absence of an emergency, the fee is $35. These charges are not billed to the insurance company and are due in full at the next scheduled session.

Emergency circumstances do occur and you will not be charged if you call to cancel an appointment due to any emergency. However, if you experience a family emergency or illness, please call us before the appointment to avoid a charge.

Clients who repeatedly cancel or fail to show for 3 or more of their scheduled appointments will lead to discharge from our practice.


In the event of bad weather, please call the office at 540-343-0004 to inquire if we are open. Individual therapists may call you to cancel appointments if they are unable to arrive due to inclement weather. Your therapist or the office staff will work with you in rescheduling your appointment.


The fee for our therapist to complete FMLA, disability, or other extensive related paperwork varies depending on the amount of records requested and/or the length of the report.


Our therapists are occasionally asked to testify in court as expert witnesses for a client regarding legal matters. In the past few years we have also seen an increase in requests for testimony in custody cases. If you think you may be involved in a legal dispute, or may require your therapist’s testimony, please inform your therapist immediately. The fee for professional court testimony varies based on the time it takes for prep work, reports, clearing therapists schedule to be in court, travel time, attorney consultation or appointment, depositions, etc. Your counselor will inform you of the cost up front if possible.

Court fees must be paid prior to the court appearance.


The court report(s) costs will vary depending on the amount of records/time it takes to prepare the report. Please ask your therapist ahead of time about the charges.


An emergency is an extremely critical and/or life threatening situation which requires immediate professional attention. Our therapists leave directions on their voice mail advising their clients what to do in the event of an emergency. In the event your therapist cannot be reached, please call the following services:

  • Connect: (540) 981-8181
  • Respond: (540) 776-1100
  • Emergency Outreach Services: (540) 981-9351


You may leave a confidential message for your therapist by calling 540-343-0004. Please leave a detailed message with your name and phone number. Weekend calls will be answered on the next business day. Please note that extensive phone calls with therapists will be considered a phone consultation after fifteen minutes and you may be charged a fee of $30.00.

To leave a message for the office staff regarding rescheduling/making appointments, please press 0.