Contact

To start our teletherapy session, you may click on this link or cut and paste the link into your browser. Please use the link ONLY if you have an appointment scheduled: https://doxy.me/maryhestoncooper

I am available to meet in person in Virginia or via teletherapy in Maine and Virginia.

My office is located in the Rosslyn neighborhood of Arlington, approximately a ten minute walk from both the Courthouse and Rosslyn metro stations. My office hours are Tuesdays, Wednesdays, Thursdays, and Fridays from 10 a.m. to 6 p.m.

The best way to reach me is by email at mcooperlcsw@gmail.com, but you can also contact me confidentially by phone at 571-205-4002.

Insurance

Please note that I do not participate with any insurance company. Contact your insurance company to determine if you have outpatient mental health coverage and if you will receive full or partial reimbursement for the services provided.  Following each session, I’ll provide you with a billing statement that includes all the information needed by your insurance company in order for you to submit the bill for reimbursement.  Since I am an out of network provider, full payment is made to me at the time of service.

I am an authorized non-network provider for Tricare.

Payment

Following each session, I will email you a Square invoice which contains all the information needed to submit to your insurance company for reimbursement. Checks are also an acceptable form of payment.

As of January 1, 2022, all healthcare providers are required to provide estimates for the cost of your care. The Good Faith Estimate shows the cost of items and services that are reasonably expected for your healthcare needs and treatment. I will provide a Good Faith Estimate (GFE) for psychotherapy services as required by the No Surprises Act of 2021 upon request. The document will be written for the entire year. The Good Faith Estimate does not include unexpected costs that could arise during treatment. If you would like to learn more about the Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-368-1019.

Scheduling and Keeping Appointments

Your appointment time is reserved specifically for you.  Please make every effort to contact me as soon as possible if you are unable to keep an appointment.   I do charge my full fee for appointments that are missed or cancelled without giving notice 48 hours (2 days) in advance.  Out of network insurance will not cover late cancellation or missed appointment charges.

First Appointment

During the first session we’ll discuss what brought you to therapy and what your goals are for treatment. It’s okay if you’re not sure; we can clarify this together.

Please download the forms on this page and bring them to your appointment or email/mail them to me if we’re meeting via teletherapy.  We’ll discuss them and I’ll answer any questions you have.

Forms

General Information

HIPAA form

Confidentiality form

Client Information form

Consent form

Social Media Policy

Telehealth Informed Consent

http://maryhestoncooperlcsw.com/s/creditcardinfo-ff3g.pdf