Individual therapy fee is $200. for 50 minutes.

Unless we agree to another arrangement, my fees are payable at the end of each session.

Accepted modes of payment include: Cash, Check, or Venmo.

My services are generally reimbursed in full or in part by insurance plans with out-of-network benefits.

After each session, I will provide you with a service invoice to submit to your insurance carrier for reimbursement.

This includes the necessary diagnostic code, treatment code and my clinical license number.

Please remember to cancel or reschedule 24 hours in advance.

You will be responsible for the entire fee if cancellation is less than 24 hours.

Confidentiality of any form of communication through electronic media cannot be ensured, including text messages.

I will communicate via e-mail or text messaging for issues regarding scheduling or cancellations if this is your communication preference.

While I will do my best to return messages in a timely manner, I cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies. In such cases, please call 911 or go to your nearest emergency room.

Please note that face-to-face sessions are highly preferable to phone sessions; however, in the event that you are out of town, sick or need additional support, phone or Skype sessions are available.

Due to the importance of your confidentiality, I do not accept friend or contact requests from current or former patients on any social networking site.

Under New York State law and the ethics of the mental health work profession, anything said by either of us in your sessions must remain strictly confidential. I will discuss you or your treatment with another person only with your permission. Similarly, I will only disclose that you are in treatment with me with your permission. The exception to this right to privacy would be if I determine that your life, safety or the life or safety of another person is in immediate and grave danger. In such cases, I might have to contact a family member or a public official responsible for your safety or the safety of others.

If you are new to working with Carolyn Ezrin, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy, and allow as much time as possible to be spent focusing on you.

Contact Information Sheet

Confidentiality