Request appointment | TheXponential PLLC

Request an appointment

Who is the financially responsible party for this account?

This is the person who will receive billing documents

Payment method: How do you plan to pay? (Insurance is still subject to patient responsibility).

First-Assessment Fees: The first assessment is scheduled for 55 minutes. The standard self-pay fee is $295. If you are using insurance to help cover the cost, confirm the provider’s network status and your Telehealth benefits directly with your insurer. Verification does not guarantee coverage. Your financial responsibility follows your plan and applicable payer requirements. Known charges are due at the time of service; insurance-dependent amounts are due once your responsibility has been determined. Full fees and billing information are available here: [https://www.thexponential.com/faq/]

I have reviewed the fee and payment information.

First-Assessment Scheduling & Cancellation: • A valid personal payment card is required to request an appointment. Submitting a request does not itself incur a charge. • Your request initially appears as pending. You will usually receive a confirmation email within 24 hours. If you do not, please contact the practice. • Please hold the requested time. If you can no longer attend, withdraw your request promptly through the scheduling system or by emailing [hello@thexponential.com] • You may withdraw a pending request without a cancellation fee before it is confirmed. The practice honors the time your withdrawal or cancellation email was received. • Once confirmed, appointments require at least 24 hours’ notice to cancel or reschedule. Late cancellations and no-shows are subject to the $175 fee. • Joining with fewer than 30 minutes remaining in the scheduled session is considered a no-show. • The $175 fee is due on the originally scheduled appointment date. Any unpaid portion will be charged to the personal card on file if unpaid by 11:59 PM U.S. Eastern Time that day. • If the practice cannot accommodate your request, we will notify you. No appointment or cancellation fee applies to a request the practice does not confirm. Scheduling policy: [https://www.thexponential.com/request-application/#3]

I have read and agree to these scheduling terms and authorize charges to my card for applicable first-assessment and late-cancellation/no-show fees under the practice’s payment policies.

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.