+1(503)928-4182 info@CDavidMaxey.com

Psychological Services

I specialize in evidence-based psychotherapy and psychological evaluation for school-age children and teens, with a concentration in support for challenging behavior at school or home; anxiety and depression; difficulties with inattention, hyperactivity, and/or impulsivity; and gender-related issues or dysphoria experienced by trans and gender-expansive children and youth. I offer appointments after school hours, on weekends, and over school breaks at my office in the Tigard Triangle area of Portland, Oregon near the junction of I-5 and 217.

Fees

My fee is $120 per 50-minute session, and I accept full payment in cash, check, or credit card at the time of service.

Forms

New clients can review the following two forms before our first session, so I can answer any questions you have before we get started. The last form is an optional form you can use to allow me to release or obtain information from someone else.

Psychotherapist-Client Services Agreement

This document contains important information about my professional services and business policies (e.g., cancelling appointments, fees, confidentiality, and records). It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA).

Privacy Practices Notice

This notice describes how psychological and medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Authorization to Use and Disclose Protected Health Information

You can authorize me to:

For example, you might decide to allow exchange of specific information with a physician, psychologist, or school.

Insurance

I’m an out-of-network provider for all insurance companies. I accept full payment in cash, check, or credit card at the time of service, and if you would like to use your out-of-network insurance benefits, I will provide a super bill that you can submit directly to your insurance company or through GetBetter.co, which charges 10% of the money you get paid back—there’s no charge if your claim is not covered by your insurance or is applied to your deductible.

You should understand that if you won’t have enough charges to pay off your deductible, usually your insurance won’t cover any of the cost. Note that charges for problems (i.e., diagnoses) that aren’t covered by your insurance, usually don’t count toward paying off your deductible. Unfortunately sometimes the way insurance plans are set up it isn’t all that easy to figure out what will be covered.

Out-of-Network Insurance Example

$120
Standard Fee
Waived by
In-Network
Providers
You Pay
$100 Allowed Fee
Insurance
Pays
60%
$40 Copay
You Pay 40%
$0

Suppose:

You would have:

Therefore, you would pay $120/session and your insurance would reimburse $60/session. If you submitted your claim through GetBetter.co, they would charge $6 (10% of the $60 insurance pays), and you would receive $54.