OPENINGS: As in all good practices, openings in my practice occur regularly. Please feel free to contact me if you are interested in working with me. Prior to making an appointment, I will ask you to write a BRIEF autobiography that centers on your gender issues and sign a statement that you agree to this consent for treatment. The "bio"/agreement can be sent directly to me via email.
Office and/or Online Therapy: I prefer to see individuals who live in the San Francisco Bay Area face to face in my office. However, if you do not live in the Bay Area --or have some special reason for not being able to attend in person-- and have access to some form of video conferencing technology such as Skype, Facetime or Zoom, I will be glad to arrange to work with you over the internet. International and interstate calls welcome. All sessions are held in English. Interested individuals need only send me an email message telling me you are interested and I will help establish an audio/visual online contact channel. Payment is to be in U.S.. dollars and in advance either through credit card, PayPal or international funds transfer.
*MY RATE is $150 per fifty minute session. I accept MasterCard, Visa, Discovery and PayPal. Of course, checks and cash is also accepted, Clients are responsible for payment at time of the appointment. I will, of course, be glad to provide a receipt or fill out any insurance forms you may have for reimbursement.
* Medicare: Let me know if you are eligible for Medicare reimbursement. Medicare patients are responsible for a small co-pay.
Cancelled/Missed Appointments: A scheduled appointment means that that time is reserved only for you. if an appointment is missed or canceled with less than 24 hour notice you wil be billed for the session at our agreed upon rate.
CONFIDENTIALITY: I know that confidentiality is very important. As a licensed practitioner, I am subject to licensing review should I disclose even the slightest amount of information regarding anybody I am seeing without the individual's written permission. Be assured, all information you forward to me will be held in strictest confidence. All new clients will be asked to sign a Limits of Confidentiality agreement and if we are meeting over the internet, a statement acknowledging that although all efforts to use HIPPA compliant software there is no guarantee of total security over the internet.
OBJECTIVES: I also want to reassure all interested parties that I have no agenda for any of my clients other then to search for a resolution to their gender issues and to improve the quality of their life. It is my intent to intercede at the least disruptive level possible given the circumstance. History has shown that the range of intervention runs from achieving a guilt free understanding of their gender issue to, in extreme cases, complete gender role transition.
STANDARDS OF CARE: I am a long time member of the World Professional Association for Transgender Health (WPATH) and follow the WPATH Standards of Care Version 7, (SOC v7). If you are unfamiliar with the SOC, I suggest that you read them prior to making an appointment with me. A copy of Version 7 of the SOC --of which I am a co-author--is available for immediate download at http://www.avitale.com/SOCv7.pdf
TREATMENT PLAN: Although I appreciate that each individual has special concerns and requires special attention, there is a general pattern I follow in treating gender identity issues. A copy of my Treatment Plan based on the WPATH Standards of Care is available at http://www.avitale.com/TreatmentPlan.htm
OFFICE LOCATION: My office is located at 610/612 D Street in San Rafael, California. San Rafael is located in Marin County, 11 miles north of the Golden Gate Bridge. My regular office hours are on Monday, Tuesday and Wednesday from Noon to 8:00 pm. My morning hours are reserved for Skype and/or double appointments to accommodate individuals who must travel from out of the Bay Area. If you will be traveling from a distance, please let me know in your inquiry and I will do what I can to accommodate you.
For further information or to make an appointment: you may email me at Dr. Vitale Please put INQUIRY in the subject box to get past my spam filter.