Office Information

Self Pay Fees

Fees are determined before or on the first session. All payments are due before or after services are rendered, unless prior arrangements have been made. All payments are made secure with square or saved card on file. I can accept other forms of payment per client's request.

I am currently only seeing clients remotely. I am only accepting work with couples at this time.

  • Couple Session (60 -90 mins)

    intake $220.00/Session $150

  • Court Fee (Per day)

    $300.00

  • Letter Request

    $40.00

  • No Show/Cancellation Fee (6 hours prior)

    $50.00

  • Printing of Record

    $25.00

My goal is to provide very well services to meet your goals, but I understand that issues can arise, please let me know, and I will try to make it right for you.

Changes

Please advise The Family Therapy Ancillary of any changes in your circumstances, including your current address, contact information, place of employment, child’s school, or school district, Marital status, visitation, and mediation.

Safety Concerns

f there are any concerns about safety, at any time when I am working with you, please inform me immediately. Calls placed to the counselor’s office should be for brief consultation, (no longer than 15 minutes), or for a non-emergency situation. Should a long consultation be needed, the client should call and schedule an additional appointment. The counselor will attempt to return calls within 24 hours a day.

An emergency constitutes a situation in which someone is:

Has plans of self-harm or of harming others. Demonstrates potentially harmful behavior.

IN AN EMERGENCY, PLEASE CALL:

  • 911 or go to your nearest emergency room. Local police# for Wichita Co. 940-720-5000

  • Local Mental Health Authority service: 800-621-8504

  • Wichita County, Helen Farabee Centers: 940-397-3143 Located at 1000 Brook St. Wichita Falls, TX 76301 https://www.helenfarbee.org

  • 2-1-1 and ask for LMHA in your area.

NATIONAL CRISIS HOTLINE NUMBERS:

  • National Suicide Prevention Lifeline 800-273-TALK (8255)

  • National Domestic Violence Hotline 800-799-7233

  • Crisis Text Line Text “HOME” to 741741

Statement of Disclosure

Personal values

Naturally with all people, my own personal beliefs and values can affect the services I provide, however I will never attempt to impose my personal beliefs on any client.  I value professionalism and respect for others beliefs, cultures, and backgrounds. I ask that my clients do the same in return.  If we run into each other in public, I will not acknowledge that I know you, to protect your confidentiality, you’re always welcome to say hello and I will acknowledge you then, but only if you initiate the conversation. I always respect my clients privacy.

Web Communication

Social Media Websites. Danett Simmons does not communicate via these methods. This includes any form of friend or contact request, direct message, wall post, and so on. This is to protect your confidentiality and ensure appropriate boundaries in therapy. While you are always free to express yourself in the manner you choose, please be aware of the potential impact on your confidentiality prior to leaving a review, comment, etc. It is often impossible to remove reviews and something you should consider before posting on web.

Acknowledgement: I agree to receive emails.

I may use thefamilytherapyancillary@gmail.com to share an information, resources, or homework, or give appointment reminder.  You should always let me know if you are uncomfortable with, or confused by, any homework I suggest.

Termination of Services

The Family Therapy Ancillary Services encourages you to continue with services, long enough to improve and reach your goals. If you desire to terminate your services, you have the right to terminate or quit my services at any time. I also have the right to terminate services in which I may determine the need to end the therapeutic relationship:


  • If you no longer need therapy and I believe you are no longer benefiting from continuing therapy.


  • I may end therapy for continued missed appointments without 24 hour notice, and failing to reschedule missed appointments, or failing to be current in payments or other arrangements.


  • If the therapy relationship becomes a subject to a conflict of interest or a potential dual relationship that may compromise my ability remain therapeutically neutral. I may refer you to a therapist.


  • If I end my private practice or relocate to another area.


Complaints

You have the right to address complaints against me, or any other Licensed Professional Therapists or Licensed Marriage and Family Therapist, to the following boards:
Texas Behavioral Health Executive Council
333 Guadalupe St., Ste. 3-900
Austin, Texas 78701
Main Line (512) 305-7700
Investigations/Complaints 24-hour, toll-free system (800) 821-3205

Therapy Risks

In general, clients are better off after therapy than they were before it, but some concerns or symptoms that brought you to therapy may worsen before improving. Your concerns and symptoms may not improve as a result of therapy. After a session, you may find yourself needing some quiet time or space to process the session.

Please sign below to indicate that you have read the statement of disclosure and other information regarding counseling services, fees, records, confidentiality, office information, and offered a copy of the HIPPA handout (page 5)