What To Expect

You have taken the first step. This page walks you through everything that happens next, including scheduling, fees, and policies.

Please read the following information carefully. It contains new client intake information, as well as our scheduling, cancellation, and billing policies. 

Introduction

Dr. Hosley aims to offer the highest value for his services. Each step in the onboarding process is carefully crafted to provide you with significant benefits. By completing each step below, you not only contribute to the ease of initiating your journey but also enhance your overall experience with Dr. Hosley.

Ultimately, his goal is to provide you with comprehensive support that addresses your needs on multiple levels – emotionally, cognitively, and behaviorally. By incorporating assessments and courses into your treatment plan, the aim is to facilitate deeper self-awareness, foster personal growth, and empower you to cultivate meaningful and lasting change in your life while also offering you materials and documentation you can reference in the future should there be any need.

Discovery Call

Dr. Hosley prefers to meet with clients for a Discovery Call to ensure that he is the right fit for your needs. This is a free 15-minute phone call where you can discuss your situation directly with him. Dr. Hosley will let potential clients know if he has current space or if they will need to be placed on the waiting list.

Overcomer's Way Courses

Dr. Hosley has created multiple online courses that assist in rapid forward progress in therapy. These courses cover education for the client that reduces the need for in-office sessions to jump-start healing. Dr. Hosley may recommend these courses to potential clients whether they are moving forward as new clients or are placed on the waiting list. Course options include:

Understanding Addiction: Free

Overcoming Addiction: $405

Marriage Phase 1: $405

Marriage Phase 2: $405

Membership (All-Access): $995

Client Portal Setup

After the Discovery Call, Dr. Hosley will let his assistant know to follow up with an email to retrieve the client’s Name, Email, and Birthdate to set up the client portal.

New Client Paperwork

The client will be sent an email from the Client Portal Host to set up the portal and complete the new client paperwork (for each client). These items must be completed before moving on to scheduling. Clients may expedite the process by messaging the assistant a notification of paperwork completion.

Scheduling

The client will be scheduled for a 90-minute Intake appointment plus two 60-minute follow-up sessions OR an Intensive appointment at Dr. Hosley’s discretion. Dr. Hosley prefers in-person sessions whenever possible, but does offer Telehealth.

Service Fees

Dr. Hosley's service fees are $452.50 for the 90-Minute Intake Appointment, and then $300 for additional Hourly Appointments.

Intensives

Dr. Hosley's Intensive rate is $305 per hour – a typical intensive is three to four hours with contiguous care the entire block of time except short bathroom or stretch breaks. This is a high value; the client essentially gets 30 to 40 minutes of “free time” typically reserved in hour-long visits for note-taking.

Assessments

Dr. Hosley will request assessments to be completed. This could be before your initial appointment or after. These assessments are highly beneficial in helping Dr. Hosley understand your situation and begin moving forward with productive therapy as soon as possible.

Assessment fees vary based on specific assessments indicated, and are between $30 and $180. 

After the Assessments, Dr. Hosley will write a report. This takes him between 30 and 90 minutes, and is billed at $305 an hour. 

This makes the total range for Assessments per client to be between $182.30 and $637.50. 

Intake Summary

This is a written report of Assessment conclusions and Recommendations offered by Dr. Hosley specific to the client and their needs regarding treatment plan and further instructions.

Report Writing Fee: $305

Continued Scheduling

After the assessment process, Dr. Hosley will collaborate with you on a treatment plan that includes how often a client would be seen. Typically clients are seen Weekly, Every Other Week, or more rarely, Monthly. Dr. Hosley’s assistant will email the client to set up a scheduling plan with the options below:

Self-Scheduling: Calendar links are provided for the client to find the appropriate times

Recurring Schedule: Dr. Hosley’s assistant will offer options for recurring appointments. As Dr. Hosley’s calendar is dynamic and often full this is the recommended option.

Scheduling for Couples: Couples are scheduled and billed under one name to create consistency in client reports and note-taking.

Cancelling and Rescheduling

If there is any unavoidable circumstance, you will need to give at least 24 hours’ notice to avoid the fee for the canceled or missed appointment.  You will be charged the full appointment fee for appointments canceled with less than 24 hours’ notice. You cannot bill your insurance company for missed appointments.

In the event you do need to cancel you will need to send an email to Dr. Hosley’s assistant at info@drryanhosley.com and cc to Dr. Hosley at dr.hosley@drryanhosley.com.

AND

Send a text to both the office (503) 395-7137 and Dr. Hosley (503) 882-0684 to notify us of the cancellation.

If you leave a message regarding a cancellation, it would be helpful if you would then also confirm your next scheduled appointment. You may call 24 hours a day to leave a message.

Optional Financial Agreement

Selected and committed regular clients have the opportunity to lock in a lower rate. The fee will be $270/hour to be paid on the first of the month with a credit card draft.  Typical months will include four appointments for weekly clients and two appointments for bi-monthly clients. Occasionally, as the calendar fluctuates, there will be five appointments for weekly clients or three appointments for bi-monthly clients. These months will include the additional appointment and the corresponding fee for that appointment.

Weekly – 4 week month: $1080 / Weekly – 5 week month: $1350

Bi-monthly – 4 week month: $540 / Bi-monthly – 5 week month: $915

Your appointment will be agreed upon and locked in the calendar, Tuesday through Friday, at the same hour, to create consistency. If you wish to cancel you have already paid for the appointment and the appointment will need to be redeemed within the next 14 days. Makeup appointments may be conducted via Telehealth to afford greater opportunity for rescheduling; this will be at the provider’s discretion and consider treatment needs. To avoid a reschedule you may request that your appointment be via Telehealth. Exceptions may be made to the rescheduling policy of 14 days due to significant illness or emergencies.  However, no refunds will be given. Superbills will be issued monthly with collected monies applied on the date of service so as not to impact reimbursement.

Insurance and Superbills

As Dr. Hosley does not contract with insurance companies, the office policy is to send monthly Superbills to clients. The superbill will be shared via the portal for clients to download and send to their insurance company for reimbursement if covered by their policy. Superbills will be sent at the beginning of the month for the previous month’s services. A Superbill is a document specifically for insurance companies and looks similar to a statement with slightly different information. A statement may be requested at any time through Dr. Hosley’s assistant.

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