Policy and Rates
Policies and Consent
- Welcome to Lippmann Psychiatry
Your agreement to the following terms and conditions is required to receive services from the practice. If you do not agree, referrals to other providers can be provided.
Clinical services
You consent to a comprehensive psychiatric evaluation. At the conclusion of the evaluation, we will determine whether to proceed with ongoing treatment.
If there is concern for immediate safety, including risk of harm to yourself or others, call 911 or go to the nearest emergency room. To reach the office outside of business hours, follow the instructions on the voicemail.
The practice does not provide hospital-based care and is not affiliated with any hospital. If a higher level of care is needed, appropriate referrals will be made; however, the practice cannot provide or guarantee external services.
All clinical interactions are documented in the medical record in accordance with legal and professional standards. You may request access to your records. If direct review is clinically inadvisable, records can be released to another qualified professional or provided as a summary.
Medication Management
If you are seen for medication management only:
● Contact your therapist first for emergencies or crises unless the issue is medication-related
● Notify the practice if you are considering stopping or have stopped therapy
● Attend follow-up appointments at least every three months
Psychotherapy: Risks and Benefits
Psychotherapy may involve the experience of uncomfortable emotions or the recall of distressing events. Potential benefits include reduced symptoms, improved relationships, and enhanced coping skills. Outcomes cannot be guaranteed.
Confidentiality
Information shared in treatment is confidential and will not be disclosed without your authorization, except in the following circumstances:
● If there is concern for imminent risk of harm to yourself or others, or in cases of suspected abuse or neglect of a child, elderly, or vulnerable individual (mandated reporting)
● If disclosure is required by court order or other legal process
● If you initiate a malpractice claim or billing dispute requiring release of relevant information
● If your insurance company requests information in connection with a claim
● If you do not pay your bill and your account is referred to a collections agency (limited information may be disclosed, including diagnostic and procedural codes)
● For administrative purposes within the practice, including communication with staff or professional consultation as needed for your care
Please review the practice’s HIPAA Notice of Privacy Practices here:
Payment
Insurance and Payment
Medicare (assignment) is accepted. The practice is out of network with all other insurance plans.
Professional Fees
Dr. Lippmann:
$350 — Initial comprehensive psychiatric evaluation (60 minutes)
$150 — Medication management (30 minutes)
Sharon Jacob, ARNP:
$300 — Initial comprehensive psychiatric evaluation (60 minutes)
$125 — Medication management (30 minutes)
Both clinicians:
$275 — Psychotherapy sessions (optional, 52–59 minutes)
Cancellation Policy
Appointments cancelled within 24 hours of the scheduled time are subject to a fee equal to the cost of the visit.
Financial Responsibility
You are responsible for all charges incurred, regardless of insurance reimbursement, treatment decisions, or clinical outcomes.
Payment Authorization
You authorize the use of the credit card provided for all fees incurred and affirm that you are an authorized user of that card.
