Good Faith Estimate / No Surprises Act
You have the right to receive a Good Faith Estimate explaining how much your care may cost. Under the No Surprises Act, health care providers are required to provide clients who are uninsured or not using insurance with an estimate of expected charges for services. You may request a Good Faith Estimate before scheduling services. If you receive a bill that is substantially higher than your Good Faith Estimate, you may have the right to dispute the bill. More information will be provided as part of the intake process.
Telehealth
I currently provide therapy through secure online video sessions for clients physically located in California. Before beginning therapy, we will review informed consent, privacy practices, emergency procedures, the benefits and limitations of telehealth, and what to do in the event of a technology disruption. At the start of sessions, I may ask you to confirm your physical location so that I can provide appropriate care and respond effectively in case of emergency.
Notice of Privacy Practices
A full Notice of Privacy Practices, including how your protected health information may be used and disclosed, is reviewed and provided at intake.
Limits of Confidentiality
Therapy is confidential, with standard legal and ethical limits, including but not limited to: imminent risk of harm to self or others, suspected abuse or neglect of children, dependent adults, or elders, and certain court orders.
Emergency Disclaimer
This website is for informational purposes only and does not constitute psychotherapy, medical advice, or a therapeutic relationship. If you are experiencing a mental health emergency, call 911, call or text 988, or go to your nearest emergency room.
License Information
Aileen Kucsera, PsyD, PA-C, Licensed Clinical Psychologist, California License #36257.
Website Privacy
The contact form is for general inquiries and consultation requests. It sends ordinary email to dr@aileenkucsera.com and is not a secure clinical messaging service. Please do not submit medical information, treatment details, financial information, or other confidential information. Submitting the form does not establish a therapeutic relationship.
Form submissions are processed by FormSubmit and delivered to the practice by email. FormSubmit retains submissions for 30 days. See FormSubmit’s privacy policy for its data practices. This website does not save form responses to a database or to your browser’s local storage.
For confidential communication, please use the SimplePractice portal. The contact form and practice email are not monitored for emergencies.