45 Accord Park Dr. Ste. 25 Norwell, MA
45 Accord Park Dr. Ste. 25 Norwell, MA
Daniel J. Richard, Ph.D. Clinical Psychologist 720 Washington St. Hanover, MA
Daniel J. Richard, Ph.D.Clinical Psychologist                                       720 Washington St. Hanover, MA  

Contracts

We have provide downloadable forms for your convenience. Please print, complete, and bring them with you to your first appointment

 

 

 

Contracts & Forms
DJR PDF Contracts and Forms 2018.pdf
Adobe Acrobat document [166.0 KB]

Please complete releases of information for your primary care physician and any providers of past mental health treatment or related treatment (e.g., neurology assessment) including telephone and fax numbers, before your first session.

Release of Information
DJR PDF Release of Information 2018.pdf
Adobe Acrobat document [61.4 KB]

Fee Schedule

MasterCard Visa American Express All credit cards Advance payment Cash on delivery Health Care Spending Accounts
MasterCard, Visa, American Express, Credit Card, Advance Payment, Cash, Health Care Spending Accounts

We provide fee-for-service in addition to accepting health insurance.

 

Please view my Psychology Today profile to determine if I am a provider for your particular health insurance.  I may also be able to provide services for other plans if you have "out of network benefits."

 

If you choose to use your health insurance, please verify your out-patient benefits  (including any deductible for the year) with your insurance plan prior to our first meeting (by calling the number on the back of your card).   Please bring your insurance card and copay to the first meeting.

Initial Appointment/Diagnostic Interview:

(50-60 min)

$220.00

Folllow-up Sessions:

(45-50 min)

$170.00

Extened Session:

(per 15 min)

$65.00

Group Therapy:

(90 min)

$80.00

Family Therapy:

(90 min)

$270.00

Psychological Testing/Evaluative & Consultative Assessment:

(per hr)

$220.00

Court Appearances inc. travel, waiting time, and expenses:

(per hr)

$220.00
Missed Appointment/Late Cancellation: $100.00

 

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Copyright 2009 Daniel J. Richard, Ph. D. Material on this website is for informational and/or educational purposes only and is not intended to provide or be a substitute for professional services. Use of this website does not establish a therapeutic relationship.