Renaissance

Description of Services:
Sherri Lackman is a Licensed Professional Counselor with a Master of Arts degree in Counseling from Amberton University. She specializes in individual, couples, family, and group counseling. She is a member of the American Counseling Association, the Dallas Society of Bioenergetic Analysis and the International Society of Bioenergetic Analysis.

She works with adults and adolescents in her psychotherapy practice. Brief and intermediate term counseling and psychotherapy are conducted utilizing a systems approach. Issues such as depression, bipolar, psychosis, self-esteem, women’s concerns, parenting skills, relationship skills, and family negotiation, bioenergetics, hypnotherapy, and stress reduction are some of the services available.

Appointments:
If you are unable to keep an appointment, please give the office notice of at least 24 hours. This is considered a professional courtesy. Appointments cancelled later than this will be charged the regular office visit fee. You may call the office 24 hours a day with any necessary schedule changes at 972.231.4466.

Fees/Payment:
Sessions are scheduled for 50 minutes. Payment of the session fee is expected at the time services are rendered. You may pay in cash or by check. A statement will be provided upon request for presentation to your insurance carrier for possible out-of-network reimbursement.

Questions:
Any questions about the goals of therapy, length of therapy, therapy rationale, or prescribed intervention(s) (and any concomitant risks), alternate choices, and/or therapy termination are welcome and will be discussed at the beginning or our work together. Clients are encouraged to voice any questions or concerns to Ms. Lackman if/as such arise(s). Questions are encouraged and most welcome!

Confidentiality:
Your communications in therapy are completely confidential. However, there are a few possible exceptions to therapist/client privilege: Communications to qualified legal/medical personnel if a client threatens imminent physical or mental/emotional harm to self of imminent physical harm to another identified person; if a client abuses a child, elderly person or handicapped person in any way; if a client is in a custody battle; if a client uses therapy to evade arrest for a crime; if a client discloses confidential therapy information relating to her/his condition as a part of a claim or defense regarding such; in a court-ordered examination; to a governmental agency or an official legislative inquiry as required by law; to insurance company personnel as necessary to process insurance/EAP/PPH/HMO claims for psychotherapy services rendered; in civil or criminal actions as allowed by law or ordered by the judge; when proceedings are brought to the client against a professional; when a client waives her/his right in writing; when a professional collection agency is employed in collecting fees for services rendered; or, to a client’s personal representative if the client is deceased.

Your signature indicates that you have read this document, understand it, and consent to provisions herein. [Client Information Form]