Send an email to drroher@gmail.com
Hours
Mon: 12:00pm - 6:00pm
Tues - Fri: 8:00am - 3:30pm
Sat: 8:00am - 12:00pm
I do not provide direct billing for any Health Insurance, with the exception of Mayo Medical Plan - Mayo Premier Arizona.
Please contact your Insurance carrier if you need to know their reimbursement policy for out of network services. You are expected to pay at time of service. You will be provided with a SUPERBILL you can privately submit to your Health Insurance for possible reimbursement.
I am not a provider for MEDICARE.
My fees and HIPAA rules and regulations are stated in the "Informed Consent for Psychotherapy Services" and in the "HIPAA Notice of Privacy Practices" forms you will find listed below.
All clinical services are held virtually, using a HIPAA-compliant ZOOM platform. New patients are accepted for individual and couple Tele psychotherapy and Tele counseling services.
Please contact me to discuss any question you might have and to schedule an appointment at (480) 229-6666.
Forms
Please complete and sign the forms pertinent to the kind of services - individual or couple - you are seeking. For couple psychotherapy and counseling, each partner needs to fill out each form separately. Once done, please mail them to me to Daniela Roher, Ph.D. P.O. Box 5648, Carefree, AZ 85377 or 1366 Caminito Arriata, La Jolla, CA 92037. I should receive them before our first appointment.
Forms required for Couple Psychotherapy
Informed Consent for Psychotherapy Services / Office Policies and General Information
HIPAA Notice of Privacy Practices
Informed Consent for Patients in Couple's Therapy
Couple Biographical Information - Intake Information
Relationships History
Couples CAQ Questionnaire
Patient's Medication List
2021 Informed Consent for Treatment using Teletherapy Services