Effective date of this Notice of Privacy Practices: April 19, 2026
Appointments are scheduled in advance at a cadence we agree upon, based on your goals, treatment needs, preferences, and overall level of support required, including safety and risk considerations. Session frequency may be adjusted as needed to best support your care. Payments for each appointment will be made via Headway or Stripe for services rendered, and will be charged by the Provider or Headway after the session. Choosing to self-pay or use insurance to pay for services needs to be confirmed prior to scheduling an appointment. Payment is due at the time of your regularly scheduled session. Sessions lasting shorter than 15 minutes are billed as a late cancellation.
I have a 48 hour cancellation policy. For appointment no-shows, cancellations/reschedules made within 48 hours of your session start time, you will be charged $100. This is necessary because a time commitment is made to you and is held exclusively for you. As long as I receive at least a 48 hour notice, you may cancel or reschedule appointments in advance without incurring the $100 cancellation fee. You can cancel by cancelling your appointment through Headway or through the Practice's client portal, or by reaching out through the contact form. This practice does not send or receive text messages.
Intake paperwork must be completed before the initial session.
Three cancellations or no-shows per year may result in a change in session frequency or discharge from the Practice. Provider will provide referrals if discharge occurs.
The standard meeting time is 55 minutes. It is up to you to determine if you'd like a shorter session. Requests to change the 55 minute session length will need to be discussed with me in advance.
I have a 15 minute grace period. If you arrive more than 15 minutes after your session start time, I will consider that a late cancellation and you will incur the $100 cancellation fee.
I check for voice mail messages during normal business hours. Messages left outside of normal hours of operation will be picked up the next business day. You can leave a voicemail or send me an email to request, cancel, or reschedule your appointment. I do not send or receive text messages. I will make every attempt to inform you in advance of planned absences. If I need to cancel an appointment at the last-minute, I will reach out as soon as possible.
This is a non-crisis practice. My services are available by appointment only. I do not provide 24/7 coverage and may be in a session and unable to answer calls or respond to voicemails or emails immediately. If you are in crisis or need immediate assistance, please call 911 or go to your nearest emergency room rather than attempting to contact me. If you are experiencing suicidal or homicidal thoughts, are in crisis, or need immediate help, please call 911 or go to the nearest emergency department.
I give the provider permission to contact me via email, phone (voicemail), and mail via the contact information on my intake form. Appointment reminders and schedule-related messages are sent by email — this practice does not send or receive text messages. I cannot ensure the confidentiality of any form of communication through electronic media. If you prefer to communicate via email for issues regarding scheduling or cancellations, I will do so. While I may try 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 the case that a patient has public insurance (Medicaid or Medicare), they understand that R.A.N. Counseling PLLC does not accept these types of insurance. I understand that I have the right to find and use a provider that does accept this insurance at any time.
R.A.N. Counseling PLLC is dedicated to providing clinical diagnosis and treatment. We do not offer services for the completion of letters, forms, or any other documentation for external entities (e.g., employers, schools, disability claims, court proceedings, emotional support animal certification). This boundary is essential to maintain the focus and integrity of our therapeutic relationship and ensure consistency across all clients.
R.A.N. Counseling PLLC does not make court appearances. They do not assist clients in divorce or custody litigation, writing court reports, making recommendations to the court, or testifying for or against clients in a court of law.
Ending a therapeutic relationship can be difficult, and "graduating" from therapy is best discussed throughout the treatment process. It is important to have a termination process in order to achieve some closure. There are several reasons why we may eventually end our professional relationship. You may decide you would prefer to work with a different provider. I may reach the conclusion you would be better served working with someone else, I may determine that psychotherapy is not being effectively used, or if you are in default on payment. I will not terminate the therapeutic relationship without first discussing and exploring the reasons and purpose of terminating. I will also extend the discharge process length if necessary based on your treatment needs, including continuing to provide emergency support for a time-limited period after you have been notified of the end of our treatment relationship. If therapy is terminated for any reason or you request another therapist, I will provide you with a list of qualified psychotherapists. You may also choose someone on your own or from another referral source.
Should you fail to schedule an appointment for three consecutive weeks, unless other arrangements have been made in advance, for legal and ethical reasons, I must consider the therapeutic relationship discontinued.
Please note that failure to pay for treatment, attend sessions, or communicate with me in a respectful and timely manner can also result in discharge from my practice. In addition, any patient who engages in inappropriate behavior will immediately be terminated as a client. In these instances, to ensure you have continued access to care, I will still make every reasonable effort to get in touch with you and provide referrals to a new provider before I consider our relationship ended. Your signature below indicates your agreement to adhere to the policies outlined above.
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Effective date of this notice: This notice went into effect on April 19, 2026.
I understand that health information about you and your health care is personal. I am committed to protecting health information about you. I maintain your protected health information in electronic formats. Electronic records are stored in secure systems, and I use appropriate administrative, technical, and physical safeguards to protect your information. I need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental health care practice. This notice will tell you about the ways in which I may use and disclose health information about you. I also describe your rights to the health information I keep about you, and describe certain obligations I have regarding the use and disclosure of your health information. I am required by law to:
I can change the terms of this Notice, and such changes will apply to all information I have about you. The new Notice will be available upon request, in my office, and on my website.
The following categories describe different ways that I use and disclose health information. For each category of uses or disclosures I will explain what I mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways I am permitted to use and disclose information will fall within one of the categories.
Federal privacy rules (regulations) allow health care providers who have a direct treatment relationship with the patient/client to use or disclose the patient/client's personal health information without the patient's written authorization, to carry out the health care provider's own treatment, payment or health care operations. I may also disclose your protected health information for the treatment activities of any health care provider. This too can be done without your written authorization. For example, if a clinician were to consult with another licensed health care provider about your condition, I would be permitted to use and disclose your personal health information, which is otherwise confidential, in order to assist the clinician in diagnosis and treatment of your mental health condition. I may use electronic systems to share your information with other healthcare providers, health plans, or business associates as permitted by law. Disclosures for treatment purposes are not limited to the minimum necessary standard, because therapists and other health care providers need access to the full record and/or full and complete information in order to provide quality care. The word "treatment" includes, among other things, the coordination and management of health care providers with a third party, consultations between health care providers and referrals of a patient for health care from one health care provider to another.
If you are involved in a lawsuit, I may disclose health information in response to a court or administrative order. I may also disclose health information about your child in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
1. Psychotherapy Notes. I keep "psychotherapy notes" as that term is defined in 45 CFR § 164.501. These notes are kept separate from your general medical record. Any use or disclosure of such notes requires your Authorization unless the use or disclosure is:
2. Marketing Purposes. As a psychotherapist, I will not use or disclose your PHI for marketing purposes.
3. Sale of PHI. As a psychotherapist, I will not sell your PHI in the regular course of my business.
Subject to certain limitations in the law, I can use and disclose your PHI without your Authorization for the following reasons:
1. Disclosures to family, friends, or others. I may provide your PHI to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations.
If you believe your privacy rights have been violated, you may contact me, file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at (800) 368-1019 or https://www.hhs.gov/ocr/privacy/hipaa/complaints/. You may also file a complaint with my licensing board. You will not be retaliated against for filing a complaint.
Rose Neugroschel, LCSW
R.A.N. Counseling PLLC
Get in touch
You may contact the state licensing boards at:
Complaints are typically submitted in writing; please contact the appropriate board for instructions.
You have the right to receive a Good Faith Estimate of what your services may cost.
Based in Asheville, North Carolina, offering in-person therapy and telehealth in North Carolina, DC, Virginia, and Colorado.
