Fees & Cancellation
Professional Fees
At Lesley Hartman & Associates, session fees follow the recommended rates for each practitioner's discipline and typically range from $170 to $225 for a 50-minute appointment. Exact rates will be confirmed during your intake process with our Intake team. Payment is due in full at the time of your session and can be made by cash, debit, or credit card.
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Private psychological and counselling services are not covered by MSI.
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If you have private health benefits you may have coverage for psychological services, psychotherapy or counselling. We recommend checking with your provider to determine whether you have coverage. At this time we do not offer *direct billing to private insurance providers. Receipts are provided for insurance reimbursement purposes.
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*We do offer direct billing, with proper approval, to provincial or federal agencies. If you require more information about the programs we direct bill, please click here.
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Our psychologists are all registered with the Nova Scotia Board of Examiners in Psychology (NSBEP) and are either Masters or PH.D. trained
Our social workers are registered with the. Nova Scotia College of Social Workers
Our counselling therapists are registered with the Nova Scotia College of Counselling Therapists. Click here to read more about RCT Standards & Processes.
Our occupational therapists are registered with the College of Occupational Therapists of Nova Scotia
for Psychotherapy
Cancellation Policy
In order to be respectful to the needs of other clients, we request that you call the office promptly if you are unable to attend an appointment. Appointments are in high demand, and a booked appointment is time that your therapist schedules for your exclusive use. Providing early cancellation will give your therapist the opportunity to provide timely care to another client.
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If it is necessary to cancel your scheduled appointment, we require that you call at minimum 24 business hours in advance**.
Monday appointments must be cancelled by 12:00 pm noon on Friday, and appointments scheduled for the first day following a holiday must be cancelled by 12:00 pm noon on the last business day before the holiday.
Appointments that are not cancelled within policy guidelines will incur a charge equivalent to the scheduled session’s full fee. Exceptions can be made for extenuating circumstances, at your therapist's discretion. Outstanding balances must be paid in full prior to rescheduling.
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To cancel appointments please contact your therapist directly via email or call (902) 431-1721 to provide the receptionist with your name, appointment date and time, and assigned therapist. If you would like to reschedule your appointment, please be sure to leave your contact number and let us know the best time to return your call.
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**Please be advised that receipts will be labelled as a missed appointment and most insurance companies and Employee Assistance Programs do NOT cover the cost of missed appointments.
Information on Consent
At Lesley Hartman & Associates Inc., we follow provincial guidelines and consent legislation regarding a child/youth's right to have their mental health decisions respected. In Nova Scotia the age of majority is 19 years old. Any person under this age is considered a minor. However, there is no law that grants or denies any decision-making entitlement to minors; therefore, if they are able to understand the risks and benefits, they are legally entitled to make decisions regarding their own health care.
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To read more about this Nova Scotia Board of Examiners in Psychology (NSBEP) Working with Children and Adolescents(.pdf)>>
What is informed consent?
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it must be given by the individual;
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it must be knowledgeable (they have all the relevant information to make an informed decision);
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It must be related to specific information at issue; and
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it must be voluntary.
What is capacity to consent?
For the consent of an individual to be valid, the individual must have the capacity to consent. In the context of The Personal Health Information Act (PHIA), capacity means:
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The ability to understand information that is relevant to the making of a decision related to the collection, use or disclosure of personal health information and
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The ability to appreciate the reasonably foreseeable consequences of a decision or a lack of a decision. (Section 3(b))
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PHIA recognizes the common-law principle of "mature minors," which recognizes that the capacity to consent is incremental and situational/ The capacity of each individual minor must be considered in the context of each episode of care. For example:
A 17-year-old may have the capacity to consent to (or withhold) disclosure of information related to one issue while lacking the capacity to consent to disclosure related to another.
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Read more about PHIA Consent, Capacity, and Substitute Decision Makers (.pdf)>>
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In Nova Scotia, as there is no set age a child/youth must reach before they are able to provide consent for treatment, assessment or release of information, the clinician/therapist must determine, on a case-by-case basis, whether the child/youth is capable of making an informed decision.
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Factors to be considered include: emotional regulation, ability to self-reflect, ability to place peer influences and age specific values in perspective, ability to learn from experiences and willingness to seek advice. They must be able to understand the nature and purpose of the treatment and/or assessment and the consequences of giving or refusing consent.
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What does this mean for my child's therapy?
The younger your child, the more involved you will likely be in the treatment. To the best of our abilities, we want parents to see themselves as part of their child’s treatment team. However, it also means that your older child or teen may have the legal right to refuse to engage in treatment. It may mean that they have the legal right to request a different kind of treatment than the one you would prefer, or that they have the legal right to refuse to consent to us talking to you about their treatment.
Practically speaking, we manage this by trying to engage our child and youth clients actively in the decision-making around their treatment. We do this from the beginning. Our intake workers will speak with your older child or teen as well as speak with you, to find out how they view the problem and what goals they have for therapy or assessment. This results in youth and children who are much more engaged, and in better therapeutic outcomes. This doesn’t mean you as a parent are left out! Our clinicians understand the importance of family for the well-being and progress of all children and teens, and we endeavor to include parents as much as possible in your child’s treatment.
My child's parents are not living together. In that case, who consents for our younger child to receive treatment?
At Lesley Hartman & Associates Inc., when the parents/legal guardians of a child are not living together (separation, pending separation, divorced or they have never lived together), we provide treatment to younger children as long as we have consent from one custodial parent as well as the assent of the child.
Assent is essentially the same thing as consent (which was detailed above). To have a child assent to treatment means that they do not have the legal right to consent (this is the parent’s job), however, we attempt to explain the risks and benefits of not receiving treatment and receiving treatment, in a developmentally accessible way, and we use the child's wishes to inform the decisions about treatment.
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When there is an existing custody arrangement including legal provisions regarding decision making on behalf of the child, this should be disclosed and parental consent obtained from the parent identified.