What if an Hour is Too Much or Not Enough?
I think that an hour per session is fairly standard amongst private occupational, physical and speech therapists. An hour is usually enough time to do a bit of social talking, and get through enough activities to adequately address the treatment goals. Whether you work [...]
The Big Question
His mother, looking overwhelmed said, “Do you treat private patients?”
I took a breath. It was the question I had been waiting months to hear. “Yes, I do.”
She exclaimed, “Wonderful! How much do you charge?”
My head kept saying, ’100! 100! 100! 100!,’ but my mouth said, “I charge [...]
I hate hate hate organizing, tracking and PAYING taxes. The only thing that makes it a little bit better are figuring out my deductions. Just to review, a tax deduction (aka “write-off”) is a reduction in the total amount on which tax is calculated. This means that whatever you make total from your private [...]
As many of you know, I recently moved to New Orleans from Boston. One of the toughest parts of moving was leaving my private patients.
I gave each of my private patients about three months notice of my move. I offered the following options to each patient:
I could refer you to a [...]
One aspect of my private patient business that I really hate to deal with is billing.
While I normally advocate for myself and others to collect payments on the day of service, I do occasionally have patients who ask if they can be billed monthly. I do this on a trial basis with them. [...]
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Setting goals is an important way to get things done. If you’re a private therapist, or hoping to become one, it’s important to set measurable goals for yourself (that’s not unlike what we do with our patients, right?)
In thinking about goal [...]
I get a number of newsletters from various sites that teach regular people how to have their own businesses. This image was created by Clare Lancaster of WomenInBusiness.com.au.
As I read this poster, it reminded me of three things:
Those feelings and worries I had before I started treating [...]
Image: Simon Howden / FreeDigitalPhotos.net
I hope that you’re doing well and that you’re having a nice fall. The fall in New England was spectacular this year. A few fun things we did were zip-lining in New Hampshire and apple picking. My private patient business has been fairly steady and I’m enjoying [...]
We all get stuck with patients, need new ideas for treatment or just have a general question that we would love to consult with colleagues on.
One of the best resources that ASHA provides (and your membership pays for!) are the ASHA Forums. Here you can interact with fellow ASHA members on the following topics:
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The Independent Clinician makes a distinction between “private patients” and “private practice.” In some ways, you can use these words interchangeably. Whenever skilled therapists charge for their time, this is a business exchange and they are being paid for their “practice.”
Usually when people hear the word “private practice” they think of a free-standing clinic [...]




