C O N T A C T
510-423-0482
zeph@zephlocke.com
z e p h l o c k e
A L L O W C O N N E C T I O N
I hope to learn more about you and welcome a conversation anytime. Please call or email and give permission to leave a message. I hope to see you in my practice.
P A Y M E N T
Cash and credit cards payments for co-pays are welcomed at the time of service. Checks are not accepted. If paying by cash out-of-network, a standard “Statements of Service Receipt” can be provided in order for you to seek insurance reimbursement.
I N S U R A N C E
Some insurance is accepted. Please confirm your full or partial coverage with your health insurance before initiating therapy. Answers to the following questions will need to be discussed prior to starting therapy:
• Do I have mental health insurance benefits?
• What is my deductible and has it been met?
• How many sessions per year does my health insurance cover?
• What is the covered amount and copay per therapy session?
• Do I have mental health insurance benefits?
• What is my deductible and has it been met?
• How many sessions per year does my health insurance cover?
• What is the covered amount and copay per therapy session?
• Is approval required from my primary care physician?
C A N C E L L A T I O N
Please contact me at least 24 hours prior to your scheduled appointment if you need to cancel. If you do not show for your scheduled therapy appointment, and you have not given notice 24 hours in advance, you will be required to pay the full cost of the session.
C A N C E L L A T I O N
Please contact me at least 24 hours prior to your scheduled appointment if you need to cancel. If you do not show for your scheduled therapy appointment, and you have not given notice 24 hours in advance, you will be required to pay the full cost of the session.