How do I make an appointment?

You can contact me via web form to schedule an appointment. You can typically expect to hear back from me within one week.

What are your policies regarding confidentiality?

All information you provide is confidential and cannot be revealed without your permission. With a signed written release of information, I will be happy to work in conjunction with your medical treatment team. There are a few exceptions in which I am mandated by the law to breach confidentiality. This is explained thoroughly in my Informed Consent Form.

What is your cancellation policy?

If it's necessary to cancel an appointment, you must provide 24 hours' notice for cancellation prior to your scheduled appointment time.  You will be charged the full fee for a missed or cancelled appointment unless you have provided 24 hours' advance notice. All voicemails are dated and timestamped.

Do you prescribe medication?

I do not prescribe medication. However, when appropriate, I will refer you to a prescribing provider for a medication evaluation. Additionally, I will be happy to work in conjunction with your medical treatment team.

Do you take insurance?

I am considered an out-of-network provider, which means that I am not contracted by insurance plans. However, many insurance plans do provide the opportunity to apply for reimbursement for therapy services received from out-of-network providers. Plans can vary widely, and you are responsible for determining what insurance benefits you receive and can obtain for reimbursement. Please call your insurance company prior to your first appointment and request further information regarding your out-of-network benefits.

If you want to check in advance and see if your insurance company provides coverage for therapy with an out-of-network provider, here are a few of the procedure codes they will need to know:

  • Diagnostic evaluation: 90791
  • Individual session: 90834 or 90837
  • Group sessions: 90853

Here are some helpful questions to ask your insurance company:

  • I’m seeking out-of-network services with Dr. Elizabeth LoTempio, what are the percentage of provider's fees that are reimbursable?
  • Is there a deductible?
  • How many sessions per year does my plan cover?
  • What information do I need to submit in order to receive out-of-network reimbursement?
  • What address do I send the information to?
  • Are there any time limitations regarding filing my claims?

For further information, check out information through Mental Health America.

How do I make a payment?

I accept checks and credit cards.  I am considered an out-of-network provider, and do not accept insurance plans.  However, I am happy to provide you with an invoice to submit to your insurance company for reimbursement.

I am a parent of a teenager. How involved will I be in their treatment?

I believe that parents play an important role in their teen’s development and success in treatment. At the same time, most teens are looking for increased autonomy and privacy, and are hesitant to be honest if their confidentiality is not ensured. Further, Washington state law requires your teen to sign a release of information form before I can provide information without your teen present. The balance between an adolescent or young adult client's privacy and parent or caregiver involvement in therapy can be difficult for both parties to agree on, but rest assured that I will talk with both of you about your expectations and desires and attempt to reach a common ground that brings peace of mind to a parent or caregiver while respecting the privacy of an adolescent or young adult. Most often this includes parent involvement in skills training (if the teen is participating in DBT) as well as check-ins with parents, with the teen or young adult present, during individual appointments. Parents are also welcome to contact me via phone or email to provide information regarding their child, so that they know I have all the information I need to be helpful. However, I cannot keep information provided by parents, caregivers, or loved ones secret from clients.

Sometimes, parents or caregivers feel that therapy would benefit their son or daughter, but aren't sure how to bring up this suggestion with him or her. If you think your adolescent or young adult might benefit from meeting with me, please reach out to discuss how to bring this up in a respectful, age-appropriate way.

Will you work with my teen’s school counselors and teachers?

I believe that collaboration between health care providers and schools is key in helping an adolescent succeed. For most teens, a great deal of time is spent at school, and teachers, classroom aides, school counselors, administrators, and other staff members play a vital role in helping psychologists obtain important information about a teen’s psychological functioning, including academic performance, peer relationships, and overall emotional well-being. I am happy to collaborate with school staff as long as the teen consents to this communication.

Do you do sessions by Skype or videoconference?

In order to increase access to services, I do offer Telemedicine to clients, when that is deemed to be an appropriate option. Telemedicine is a form of video conferencing that allows me to provide services to you from your home or office, or any other private location within the state of Washington, eliminating the time it takes to get to and from my office. Telemedicine requires that you have access to a private space, and a computer/tablet/phone with a camera and high-speed internet. I will provide access to a specific videoconference system that is secure and HIPAA compliant. We cannot use Skype, FaceTime, or Google Hangouts, as these services are not HIPAA compliant. I can only provide Telemedicine services to clients living in the state of Washington, due to licensing laws. Prior to establishing treatment via telemedicine, an in-person initial intake must be scheduled. Please feel free to Contact Me if you have questions about this treatment option.