Clinical Services — Therapy

Therapy
Services

Sometimes things don't just get better with time — especially when you're carrying it all quietly. I work with adults navigating stress, trauma, and transition, drawing on the method that fits the moment: trauma-informed care, CBT, couples work, or support through major life change. If you're feeling overwhelmed, disconnected, or simply not like yourself, this is a focused space to restore clarity and direction.

Also offering —

Our Approach

Therapy is structured around what you need — it may draw on trauma-informed care, CBT, couples work, life-transitions support, or other approaches as clinically appropriate.

  • ·Thoughtful Psychological Care
  • ·Depth, Insight, and Understanding
  • ·Evidence-Based Therapeutic Approaches
  • ·Sustainable Personal Growth

Clients with PPO or POS plans (Premera, Blue Cross, Regence, BlueShield, Aetna, Cigna, or UnitedHealthcare) often get a good share of each session paid back. Either of these tools can show you what your plan covers.

Clinical Specialties

Treatment Approaches

CBT addresses the relationship between thoughts, feelings, and behavior. When anxious or depressed, thinking becomes distorted — overly negative, catastrophic, or self-critical. CBT identifies these patterns and develops more balanced, realistic ways of thinking. Practical, structured, and focused on what's maintaining distress. Effective for anxiety, panic, OCD, depression, and chronic stress.
ACT builds psychological flexibility — the ability to be present with difficult feelings while still moving toward what you value. Rather than eliminating anxiety or negative thoughts, ACT changes your relationship with them. Combines mindfulness with values-based action. Particularly effective for avoidance patterns, chronic anxiety, and rumination.
Psychodynamic therapy examines how past experiences — especially early relationships — shape current patterns of thinking, feeling, and relating. Rather than focusing solely on symptoms, it explores the deeper picture: relationships, inner life, recurring dynamics. Effective for people who keep finding themselves in the same painful situations and want to understand themselves more deeply.
Trauma-focused approaches help the nervous system process experiences that are stored as threat rather than memory — showing up as flashbacks, panic, hypervigilance, or emotional numbing. Work begins with stabilization and grounding before any processing. May incorporate EMDR, somatic approaches, or narrative processing depending on presentation. Effective for PTSD, complex trauma, and accumulated emotional wounds.
Individual Therapy

Session & Booking

  • 50–60 minute sessions
  • Weekly recurring model — standard expectation
  • $225 per session, or use your insurance
  • Card on file required before first appointment
  • 24-hour cancellation policy strictly enforced

$225 per session, paid when you book — or use your insurance

Clinical Approach

Emotionally Focused Therapy (EFT)

Rooted in attachment theory — the science of how we bond with the people we love. Most relationship conflicts aren't about the surface issue but about deeper needs: Do you see me? Can I count on you? EFT maps the emotional cycle keeping partners stuck and builds new patterns of reaching and responding. Highly effective for emotional distance, recurring conflict, and trust repair after infidelity.
A research-based approach developed from decades of studying what makes relationships succeed or fail. Identifies specific behaviors that predict relationship breakdown — criticism, contempt, defensiveness, stonewalling — and builds skills to replace them. Emphasizes friendship, shared meaning, and de-escalation. Particularly useful for couples with entrenched conflict patterns or high emotional reactivity.
Applies CBT principles to relational dynamics. Examines the beliefs, assumptions, and interpretations each partner brings to the relationship — including how prior experiences shape current reactions. Helps couples identify distorted thinking patterns about each other and develop more accurate, compassionate attributions. Useful for couples where miscommunication or negative assumptions are a central driver of conflict.
Explores the stories couples tell about themselves and their relationship — including the dominant narratives that define problems as permanent or central to identity. Helps partners separate the problem from the person and co-author a new, more workable story about who they are together. Particularly useful when couples feel their relationship has been "defined" by conflict, betrayal, or a difficult chapter.
Couples Therapy

Session & Booking

  • 60–75 minute sessions
  • Attendance determined at intake based on presenting concern
  • Weekly structure during initial phase
  • $275 per session, or use your insurance
  • Card on file required before scheduling
  • 24-hour cancellation policy strictly enforced

$275 per session, paid when you book — or use your insurance

Clinical Approach

Family Systems Work

Focuses on the family's structure — roles, boundaries, and hierarchy. Many presenting problems reflect blurred boundaries or an unclear parental subsystem rather than a single member's "issue." Work centers on clarifying roles and rebuilding a functional structure the whole family can operate within.
A brief, directive model focused on specific, observable problems rather than open-ended processing. Sessions produce concrete, behavioral steps for the family to practice between visits. Well suited to families who want a clear plan rather than extended exploration.
Looks at generational and emotional patterns across the family, with particular attention to enmeshment (over-reactivity to one member's behavior) and triangulation (a third party — a school, a sibling — inserted between two others). Helps family members stay regulated and differentiated rather than reactive.
Family Therapy

Session & Booking

  • 53–60 minute sessions
  • $275 per session, or use your insurance
  • Card on file required before scheduling
  • 24-hour cancellation policy strictly enforced

$275 per session, paid when you book — or use your insurance

Frequently Asked Questions

What to know before you book

What does therapy cost?
Individual Sessions$225
Couples Therapy$275
Family Therapy$275

These are self-pay rates, paid when you book. Cards and HSA/FSA are accepted. Using insurance instead? Choose “Use Insurance” when you book and we’ll check your coverage before charging anything.

In-Network Insurance

We bill Aetna, Apple Health (WA Medicaid), Blue Cross Blue Shield, Cigna, Medicaid (Maryland only), and UnitedHealthcare directly. Pick your plan when you book, and we’ll confirm your coverage before your first session.

Using Out-of-Network PPO / POS Benefits

If your plan isn’t on that list, you pay the self-pay rate and we give you a superbill — a detailed receipt you send to your insurer to get reimbursed.

Example: How the numbers work

If your PPO plan covers 50% of out-of-network care, your final session cost drops from $225 to $112.50.

If you have no out-of-network benefits

If your plan has no out-of-network coverage, state law may still help. When your insurer can’t find you an in-network therapist nearby or soon enough, you can ask them to cover care outside the network.

Maryland Residents
The 45-Mile / 10-Day Rule

If your insurer cannot find an available in-network provider within a 45-mile radius or within 10 days, you have the right to immediately file a formal Network Insufficiency Claim.

Washington Residents
Access & Delay Protections

State mandate protects you against unreasonable search radii or appointment waiting delays. If in-network access fails, you can submit an Alternate Access Delivery Request.

To use these protections, call your insurance company and ask for their network exception form.

Yes. A limited number of sliding scale spots are reserved for individuals facing financial hardship — including those below the poverty line due to medical circumstances, job loss, or other qualifying situations. Available for both individual and group therapy, with sessions at 45 minutes. Spots are limited and assessed case by case; reach out directly to inquire about current availability.
Adults ages 18 and older. This practice does not provide services to minors.
Most sessions are conducted via HIPAA-compliant telehealth. Maryland clients may request in-person sessions where available. Washington State clients are seen exclusively via telehealth.
Individual sessions are 53 minutes. Couples sessions are 60 minutes. Sliding scale sessions are 45 minutes.
Weekly. Therapy at this practice operates on a weekly recurring model. Consistent attendance is a clinical expectation, not a preference. Clients who cannot commit to weekly sessions are not a good fit for this practice.
24 hours notice is required to cancel or reschedule without charge. Late cancellations and no-shows are billed the full session fee. This policy applies without exception.
A brief consultation is available for $25, deductible from the cost of the first intake session. The intake session itself includes a comprehensive clinical interview used to determine fit, treatment goals, and recommended approach.
Anxiety, depression, trauma, relationship difficulties, life transitions, occupational stress, grief, and chronic illness adjustment. This practice does not treat active psychosis, severe personality disorders requiring intensive outpatient care, or substance use as a primary presenting concern.
A superbill is an itemized receipt provided by your therapist that includes the session date, CPT billing code, diagnosis code, and provider credentials. You submit it directly to your insurance company to request reimbursement for out-of-network services. It is not a guarantee of reimbursement — your plan's out-of-network benefits determine what, if anything, you receive back.
Most clients submit monthly — collecting all session receipts for the month and submitting them in a single batch to their insurer. Some submit after each session. Your insurance carrier may have a filing deadline (typically 90 to 180 days from the date of service), so submitting monthly keeps you well within that window.

Additional practice policies — including confidentiality, scope of services, and terms of service — are available on the Practice Policies page.

Clinical Excellence and Clarity for Your Mental Health Goals

We offer comprehensive therapeutic services and specialized psychological evaluations tailored to support your mental health goals.

Therapy Services
  • Individual Therapy
  • Couples Therapy
  • Family Therapy
  • Group Therapy
→
Psychological Evaluations
  • Diagnostic Assessments
  • Medical & Legal
  • Occupational Decisions
→
Clinical Services — Assessments

Psychological
Evaluations

Structured psychological evaluations for medical, legal, and occupational decision-making. Evaluations are self-pay, with full payment due when you book. Superbill provided upon request.

Also offering —

Our Process

Evaluations are structured, documentation-focused services designed for medical, legal, and occupational purposes.

  • Referral or intake request submitted
  • Comprehensive clinical interview and record review
  • Bariatric clearance reports delivered within 48 hours
  • Legal and military reports delivered within 7–10 business days
Services Offered

Evaluation Types

Select any service to view scope, pricing, and what's included.

01 H&B

Standard Evaluation

Surgical clearance or chronic disease management. Clinical interview, validated screening instruments, and detailed behavioral readiness report. Appropriate when there is no significant psychiatric history.

Learn More → $750 flat fee
02 H&B

Comprehensive Evaluation

Same purpose as Standard — surgical clearance or chronic disease management — but required when the patient has a significant mental health history. Includes extended interview and MMPI-3/MBMD personality testing.

Learn More → $1,050 flat fee
03

Immigration Hardship Eval — Standard

Comprehensive Mental Health Evaluation for Asylum, VAWA, U-Visa, T-Visa, and standard ADA accommodation requests. Includes PAI, M-FAST, PCL-5, 2–3 hour clinical interview, and 15–25 page report.

Learn More → $2,575

Standard Evaluation

Surgical Clearance or Chronic Disease Management. Comprehensive evaluation for medical procedures or chronic condition management. Includes clinical interview, validated screening instruments, and detailed behavioral readiness report.

Appointments conducted via HIPAA-compliant telehealth under BAA. Typically available within one week of booking.

FAQ — What to Expect
No. This is a Health & Behavior Assessment — a medical consultation focused on your readiness for surgery or chronic condition management, not ongoing therapeutic care.
After payment is confirmed, you will receive scheduling instructions via email. All evaluations are conducted via HIPAA-compliant telehealth under BAA.
Your behavioral readiness report is sent directly to your surgeon's office with your authorization. You'll also receive a copy for your records, typically within several business days.
Evaluations are self-pay. We can give you a superbill to send to your insurer for possible reimbursement. (Therapy sessions can be billed to insurance.)
Standard Evaluation $750 Flat Fee · H&B · Superbill provided
Appropriate For
  • Bariatric or spinal procedures
  • Chronic disease adherence assessment
  • No significant psychiatric complexity
  • First-time evaluation

Full payment required at booking. Superbill provided for insurance submission.

Comprehensive Evaluation

Same purpose as the Standard Evaluation — surgical clearance or chronic disease management — but indicated when the patient has a significant mental health history that requires a more in-depth assessment. Includes an extended clinical interview, personality testing (MMPI-3/MBMD), and comprehensive behavioral analysis.

If you are seeking clearance for surgery or chronic disease management and have a history of mental health treatment, eating disorders, chronic pain, or prior psychiatric complexity, this is the appropriate tier.

Appointments conducted via HIPAA-compliant telehealth under BAA. Typically available within one week of booking.

Comprehensive Evaluation $1,050 Flat Fee · H&B · Extended interview + MMPI-3/MBMD · Superbill provided
Required When Patient Has
  • History of eating disorders
  • Significant psychiatric history
  • Personality testing required by referral
  • Multiple prior procedures

Full payment required at booking. Superbill provided for insurance submission.

Immigration Hardship Evaluation — Standard

Comprehensive psychological assessment for immigration relief proceedings. All reports are structured for attorney and immigration court review and prepared in accordance with professional and legal standards.

Case Types — Standard
Documents psychological harm, fear of persecution, and trauma-related symptoms in support of asylum or refugee protection claims. Addresses country condition context, credibility considerations, and DSM-5 diagnostic findings relevant to the applicant's experience.
Evaluates psychological impact of domestic violence, abuse, or coercive control experienced by the petitioner. Documents trauma symptoms, functional impairment, and the relationship between the reported harm and the petitioner's mental health presentation.
Assesses psychological harm resulting from qualifying criminal activity. Supports certification and petition documentation by providing clinical evidence of mental health impact consistent with the reported victimization.
Documents psychological sequelae of trafficking and exploitation, including trauma bonding, complex PTSD, dissociation, and related functional impairments. Supports T-Visa applications requiring evidence of trafficking-related harm.
CMHE — Standard $2,575 Flat Fee · Asylum · VAWA · U-Visa · T-Visa · ADA
Standard Battery Includes
  • Personality Assessment Inventory (PAI)
  • Miller Forensic Assessment of Symptoms Test (M-FAST)
  • PTSD Checklist for DSM-5 (PCL-5)
  • Clinical Diagnostic Interview (2–3 hours)
  • Comprehensive Written Report (15–25 pages)

Full payment required at booking. Non-refundable once interview scheduled. 48-hour notice required to reschedule.

04

Immigration Hardship Eval — Complex / Forensic

Extended forensic battery for Cancellation of Removal, complex hardship waivers, and cases requiring enhanced validity testing. Includes TOMM, HTQ, 3–4 hour interview, and 25–40 page report with case law citations.

Learn More → $4,000
05 H&B

H&B Intervention

Non-Surgical Support Session. A structured 45–60 minute skills-based session for patients managing chronic illness, caregiver stress, or behavioral barriers to treatment. Coaching-focused, not evaluation-based. Optional follow-ups available.

Learn More → $875 / session
06

Aviation Psychological Evaluation

Psychological evaluation conducted in accordance with referral requirements for aeromedical review. Not a neuropsychological evaluation. Supports FAA medical certification, Special Issuance, and HIMS AME referrals.

Learn More → $2,800

Immigration Hardship Evaluation — Complex / Forensic

Extended forensic battery for high-complexity immigration cases where credibility is contested, validity testing is required, or the legal stakes demand the highest level of clinical documentation.

Case Types — Complex / Forensic
Provides comprehensive psychological documentation of the hardship that would be imposed on qualifying U.S. citizen or LPR family members upon removal. Addresses exceptional and extremely unusual hardship across emotional, psychological, and functional domains. Enhanced validity testing included given the adversarial nature of removal proceedings.
Documents the psychological impact of separation or relocation on qualifying family members, including evidence of mental health diagnoses, treatment history, functional limitations, and prognosis. Prepared to meet the heightened evidentiary standard required for extreme hardship determinations under I-601/I-601A and related waivers.
Cases with contested credibility, allegations of exaggeration or malingering, or where USCIS or immigration court has indicated heightened scrutiny of the applicant's psychological claims. The Complex battery includes the TOMM and HTQ specifically to address and counter these challenges with objective clinical data.
CMHE — Complex / Forensic $4,000 Flat Fee · Cancellation of Removal · Complex Hardship · Enhanced Battery
Complex Battery Includes
  • Complete Standard Battery (PAI, M-FAST, PCL-5)
  • Test of Memory Malingering (TOMM)
  • Harvard Trauma Questionnaire (HTQ)
  • Extended Clinical Interview (3–4 hours)
  • Advanced Validity & Response Style Analysis
  • Comprehensive Report with Case Law Citations (25–40 pages)

Full payment required at booking. Non-refundable once interview scheduled. 48-hour notice required to reschedule.

H&B Intervention — Non-Surgical Support Session

A structured 45–60 minute skills-based session for patients managing chronic illness, caregiver stress, or behavioral barriers to treatment. Coaching-focused, not evaluation-based. Optional follow-ups available.

No surgical referral required. No evaluation required. This session stands alone and can also complement a prior assessment.

All H&B Intervention sessions are billed under . A superbill is provided upon request for out-of-network submission.

H&B Intervention $875 Per Session · 45–60 min · Coaching-focused, not evaluation-based
Best For
  • Boundary-setting & coping skills
  • Caregiver role support
  • Chronic illness adjustment
  • Behavioral barriers to treatment
  • Complements a prior assessment
Payment Methods
  • Secure online payment via Stripe
  • Credit, debit, HSA & FSA accepted
  • Payment link provided at booking
  • Self-pay — not billed to insurance

Full payment required at booking. Superbill provided for out-of-network insurance submission. Optional follow-up sessions available.

Aviation Psychological Evaluation

Comprehensive psychological evaluation conducted in accordance with referral or aeromedical review requirements for pilots and aviation personnel.

The evaluation includes a structured diagnostic interview, standardized personality assessment, response validity analysis, and a formal written report — designed to provide the doctoral-level clinical data required for review by your HIMS-authorized examiner or AME.

Designed for initial review, special issuance documentation, or follow-up psychological clarification.

This service provides objective clinical findings and does not determine certification outcomes.

Aviation Psychological Evaluation $2,800 Includes clinical interview, testing, scoring, report preparation, and up to three hours of records review.
Additional Services $300/hr Additional record review or addendum requests — billed with prior authorization only.
What's Included
  • Clinical interview
  • Psychological testing & scoring
  • Report preparation
  • Up to three hours of records review
  • Report submitted to requesting authority
Payment Methods
  • Secure online payment via Stripe
  • Credit, debit, HSA & FSA accepted
  • Payment link provided at booking
  • Self-pay — not billed to insurance
07

Military / Service-Related Evaluation

Psychological evaluation for service clearance, fitness determinations, or documentation support related to military administrative processes — providing the independent doctoral clinical evidence required for review by military medical boards or command-level examiners.

Learn More → $3,500
08

Disability & Fitness — Standard

Straightforward disability or occupational documentation needs with limited records and no extensive testing required. Includes structured clinical interview, functional assessment, record review, and formal written report.

Learn More → $1,800
09

Disability & Fitness — Comprehensive

Fitness-for-duty matters, complex disability cases, or evaluations requiring additional psychological testing and expanded documentation review. Extended interview, standardized assessment, and comprehensive written report.

Learn More → $2,500

Military / Service-Related Psychological Evaluation

Comprehensive psychological evaluation for active duty service members, reservists, veterans, or applicants requiring documentation related to fitness, administrative review, or service-related matters.

The evaluation includes an extended clinical interview, standardized psychological testing, embedded validity measures, and a detailed written report tailored to referral specifications — providing the independent doctoral clinical evidence required for review by military medical boards or command-level examiners.

Appropriate for fitness-for-duty clarification, administrative proceedings, or documentation support.

This service provides objective clinical findings and does not determine command or administrative outcomes.

Military / Service-Related Evaluation $3,500 Includes clinical interview, testing, scoring, report preparation, and up to three hours of records review.
Additional Services $300/hr Additional record review, rebuttal letters, or addendum reports — billed with prior authorization only.
What's Included
  • Clinical interview
  • Psychological testing & scoring
  • Report preparation
  • Up to three hours of records review
  • Report tailored to referral specifications
Payment Methods
  • Secure online payment via Stripe
  • Credit, debit, HSA & FSA accepted
  • Payment link provided at booking
  • Self-pay — not billed to insurance

Full payment required at booking. Non-refundable once interview scheduled.

Disability & Fitness — Standard Evaluation

Appropriate for straightforward disability or occupational documentation needs with limited records and no extensive testing required.

Includes structured clinical interview, functional assessment, review of records (up to three hours), and formal written report. Reports are typically delivered within 10–14 business days after completion and receipt of required documentation.

Standard Evaluation $1,800 Flat Fee · Clinical interview, functional assessment, record review (up to 3 hrs), written report

Evaluations are self-pay. Full payment is due when you book. Additional record review beyond three hours billed at $300/hr with prior authorization.

Supports
  • Social Security Disability (SSDI/SSI)
  • ADA Workplace Accommodation Requests
  • Educational Accommodations
  • Return-to-work decisions
  • Long-Term Disability Claims

Full payment required at booking. Non-refundable once interview scheduled.

Disability & Fitness — Comprehensive Evaluation

Appropriate for fitness-for-duty matters, complex disability cases, or evaluations requiring additional psychological testing and expanded documentation review.

Includes extended clinical interview, standardized assessment as indicated, review of records (up to three hours), and comprehensive written report. Reports are typically delivered within 10–14 business days after completion and receipt of required documentation.

Comprehensive / Extended Evaluation $2,500 Flat Fee · Extended interview, standardized assessment, record review (up to 3 hrs), comprehensive written report

Evaluations are self-pay. Full payment is due when you book. Additional record review beyond three hours or addendum requests billed at $300/hr with prior authorization.

Supports
  • Fitness-for-duty assessments
  • Complex disability determinations
  • Cases requiring psychological testing
  • ADA Workplace Accommodations
  • Long-Term Disability Claims

Full payment required at booking. Non-refundable once interview scheduled.

Insurance & Self-Pay. For therapy, we bill Aetna, Apple Health (WA Medicaid), Blue Cross Blue Shield, Cigna, Maryland Medicaid, and UnitedHealthcare, or you can self-pay. Evaluations are self-pay, and we can give you a superbill to send to your insurer. Medicare is not accepted.

Practice Structure

Practice Policies

These policies apply uniformly to all services. Please review them before scheduling.

Private Pay

Therapy: we bill Aetna, Apple Health (WA Medicaid), Blue Cross Blue Shield, Cigna, Maryland Medicaid, and UnitedHealthcare directly. We check your coverage before your first session. You can also self-pay, due when you book. Evaluations: self-pay only, due when you book. If your plan isn’t listed, or for evaluations, we can give you a superbill to send to your insurer; whether they reimburse you is up to your plan. Medicare is not accepted. Credit, debit, and HSA/FSA cards are accepted.

Evaluation Cancellation

Evaluation fees are non-refundable once an appointment is scheduled. Rescheduling requires 48 hours notice. Requests with less than 48 hours notice forfeit the fee. Report timelines begin after completion of the clinical interview and receipt of all required documentation.

Therapy Cancellation

24 hours notice is required to cancel or reschedule without charge. Late cancellations and no-shows are billed the full session fee. This policy applies uniformly and is not subject to exception.

Therapy Attendance

Therapy is structured on a weekly recurring model. Consistent attendance is a clinical requirement. Irregular scheduling will be addressed directly and may affect the continuation of services.

Scope of Evaluation Services

Evaluations provide independent clinical findings and written documentation. They do not determine regulatory, administrative, legal, or certification outcomes. The requesting authority retains sole discretion over how findings are applied. This practice serves as an independent evaluator — not an advocate. Evaluation services do not establish a therapeutic relationship.

Immigration & Forensic Evaluations

Immigration and forensic evaluations are prepared to professional and ethical standards. No outcome is guaranteed. This practice does not advocate for a particular legal result. Reports reflect independent clinical judgment and are released only to parties designated in writing at intake.

Confidentiality & Records

All services are subject to applicable state and federal confidentiality protections. Records are released only to designated parties as authorized in writing. Records requests are subject to applicable fees and response timelines established by law.

Telehealth

All services are delivered via HIPAA-compliant telehealth under a signed BAA. Clients are responsible for a private, stable connection. Technical difficulties on the client's end do not exempt the appointment from the cancellation policy.

No Emergency Services

This practice does not provide crisis intervention or after-hours support. In a mental health emergency, contact 988, call 911, or go to the nearest emergency room. Use of this website does not establish a clinical relationship or duty of care.

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  • HIPAA-compliant telehealth
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Legal

Terms of Service

By visiting this website you are consenting to these Terms of Service. Please read them carefully before using this site or scheduling services.

Overview

By using this website (the "Site"), all visitors ("user," "you," "your") are bound by these Terms of Service. The terms "we," "us," and "our" refer to Dr. Isabella Riojas, PhD ("the Practice"), owner of this Site. Accessing this Site constitutes use of the Site and acceptance of the Terms provided herein.

We reserve the right to change these Terms of Service or impose new conditions at any time. Continued use of the Site after any such changes constitutes your acceptance of the revised Terms.

Site Use

To access or use this Site, you must be 18 years or older and have the authority to enter into these Terms. You may use this Site for lawful purposes only. You shall not post or transmit any material that violates or infringes the rights of others, is threatening, abusive, defamatory, or otherwise unlawful.

Use of this Site does not establish a clinical, therapeutic, or evaluative relationship, nor does it create any duty of care. This Site is for informational purposes only.

Purchase & Refund Policy

Self-pay fees and all evaluation fees are due in full when you book. For therapy billed to insurance, you pay the copay, coinsurance, or deductible amount set by your plan, and you are responsible for any amount your insurer denies. By submitting payment — electronically, verbally, or otherwise — you agree to the terms of service described at the time of booking.

Evaluation fees are non-refundable once an appointment is scheduled. Rescheduling requires a minimum of 48 hours notice. Requests made with less than 48 hours notice forfeit the fee in full. Therapy session fees are non-refundable for late cancellations (less than 24 hours notice) and no-shows. No exceptions will be made to this policy.

Intellectual Property

This Site and all of its content — including text, graphics, reports, and documentation — are the intellectual property of Dr. Isabella Riojas, PhD. You may view and download one copy of materials for personal, non-commercial use only. You may not reproduce, distribute, modify, or create derivative works from any content on this Site without prior written consent.

Disclaimers

The Practice makes no representation or warranty that the information provided on this Site is accurate, complete, or error-free. Content is provided for informational purposes only and does not constitute medical advice, psychological counseling, legal guidance, or any other professional service.

Dr. Isabella Riojas, PhD provides independent clinical evaluation services. Evaluation findings do not determine regulatory, administrative, legal, or certification outcomes. The requesting authority retains sole discretion over how findings are applied. No outcome — legal, clinical, or otherwise — is guaranteed.

Limitation of Liability

YOU AGREE THAT UNDER NO CIRCUMSTANCES SHALL THE PRACTICE BE LIABLE FOR DIRECT, INDIRECT, INCIDENTAL, CONSEQUENTIAL, SPECIAL, PUNITIVE, OR ANY OTHER DAMAGES ARISING OUT OF YOUR USE OF THIS SITE OR SERVICES. THIS INCLUDES, WITHOUT LIMITATION, DAMAGES IN CONNECTION WITH ANY FAILURE OF PERFORMANCE, INTERRUPTION, DATA LOSS, OR THIRD PARTY ACCESS TO YOUR INFORMATION. IN NO EVENT SHALL THE PRACTICE'S CUMULATIVE LIABILITY TO YOU EXCEED THE AMOUNT PAID BY YOU FOR THE SPECIFIC SERVICE GIVING RISE TO THE CLAIM.

Indemnification

You shall indemnify and hold the Practice harmless from and against any and all losses, damages, liabilities, costs, and expenses — including attorneys' fees — arising out of any breach by you of these Terms of Service or your use of this Site.

Third-Party Resources

This Site may contain links to third-party websites. The Practice is not responsible for the availability, accuracy, or content of third-party sites and does not endorse or affiliate with them. You assume all risk from your use of any such resources.

Governing Law & Dispute Resolution

These Terms shall be governed by and construed in accordance with the laws of the State of Maryland, United States of America. Any dispute not resolved by good-faith negotiation shall be submitted to binding arbitration under the American Arbitration Association. Arbitration shall take place in Maryland or via telephone within ninety (90) days of the initial demand. The written decision of the arbitrator shall be final, binding, and not subject to judicial review.

Severability

If any provision of these Terms is found invalid or unenforceable by a court of competent jurisdiction, the remaining provisions shall continue in full force and effect.

Entire Agreement

These Terms of Service constitute the entire agreement between you and the Practice with respect to your use of this Site and supersede all prior agreements and understandings. No waiver of any provision shall constitute a continuing waiver.

Questions regarding these Terms may be directed to the practice via the .

Last updated: May 2025