Resources
Psychological Associations and Licensing Boards
 American Psychological Association
 California Board of Psychology
 California Psychological Association
 Sacramento Valley Psychological Association
General
 National Institute of Mental Health
 National Alliance on Mental Illness
 Substance Abuse and Mental Health Services Administration
Low Fee Clinics in Sacramento Area
 Asian Pacific Community Counseling: Free; appointment preferred, short-term counseling/referral; most Asian languages.
 Family Service Agency: Short or long-term counseling to families and individuals who experiencing family related difficulty.
 La Familia Counseling Center: Provides counseling to families and children; Spanish speaking.
 Open Counseling: A listing of low-fee counseling options in the area
 Strategies for Change:  Individuals, couples, children & families; specializing in substance use, anger, domestic violence, parenting.
 Suicide Hotline:  Phone counseling available 24 hours a day for help getting through difficult moments.  You will be helped by a trained crisis  worker who will listen and will tell you about mental  health services in your area. Your call is confidential and free.
Low Fee Clinics In Palo Alto Area
 Gronowski Clinic: a  training clinic dedicated to providing  counseling and assessment  services to individuals, couples and families.  The clinic offers  services on a sliding scale basis.
 Community Center for Health & Wellness: Short and long term therapy offered at affordable rates.
 Asian Americans for Community Involvement:  culturally and linguistically competent services that help clients  overcome barriers to mental health care.  Individual, group, and family  counseling.
Other resources
 Anxiety Disorder Association of America
 Go Ask Alice! – Mental Health Q&As Geared Towards College Students
 Alcoholics Anonymous
 Al-Anon — For Friends and Families of Problem Drinkers
 Dr. Shortliffe’s Profile at Psychology Today
 Find Dr. Shortliffe on AllTherapist.com
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Forms
Procedural Forms
 New Client Intake Form
 Informed Consent & Treatment Contract
 HIPAA Privacy Notice
 Release of Information
Telemedicine Consent to Service
Credit Card Authorization
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (916) 665-4251.