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1. Are practice sessions covered by insurance?

Not at this time. But they can be covered for applicable treatments, where preauthorized, by our service contract with the State of Delaware’s Division of Developmental Disability Services or our vendor contract with the Delaware Division of Vocational Rehabilitation.


2. What do you charge for practice sessions?

For individuals in the community, initial sessions cost $75.00 with subsequent sessions at $65.00 per visit. Sessions fees for those with more complex needs may be higher.


3. What happens in practice sessions?

In the initial visit, we introduce ourselves and our process to families and if the client is willing, begin procedure practice. Individual response determines how quickly we move through practice sessions and how much we accomplish with each session. But because we do not force anyone to receive care before they are ready, trust helps speed the process along.


4. How long do practice sessions last?

It depends on the individual. They range in length from 15 minutes to as long as an hour.

5. What are the average number of practice sessions people need?

It is so individual that we cannot give a fixed answer. We begin with a consultation, and once that occurs, our team develops a practice plan.  By visit four, we can usually determine number of sessions needed to complete treatment.

6. Who conducts practice sessions?

Deb Jastrebski, founder and CEO, works with our team of practice specialists. We continue to add to this team as our business expands.

7. What training do they receive?

PWP has developed three levels of training. All staff receives Tier 1 training. In addition, staff working as practice specialists, receive Tiers 2 and 3 training, which includes direct instruction with our master and senior practice specialists.

8. Will I see the same practice specialist every time?

We make every attempt to keep our clients paired with the same master and lead practice specialist. But because all practice specialists use the same process, we do not find a change of person to adversely affect outcomes.

9. Can I sit in on practice sessions?

Absolutely. Family or caregivers are important to success, as they help us understand what clients need if they cannot tell us. They also help make clients comfortable in a new setting and procedures.

10. How do you communicate with families/caregivers?

Session notes are sent out to families/caregivers shortly after each visit to review progress, identify additional areas for practice or treatment and any at-home support that could benefit the client.

11. Do you take clients who don’t have disabilities?

Yes, we have expanded our services to include people who do not have disabilities. Most of them are people who know us either as families or as support staff of people with disabilities. This inclusive approach reflects our original mission: to make Practice Without Pressure a healthcare home where families and caregivers, together with people who have disabilities, can all enjoy access to quality care in one location.



1. How do you determine when a person is ready for treatment?

We make this decision in consultation with practice specialists, healthcare professionals, individuals and their family or caregivers.

2. Once a person receiving practice sessions is ready for treatment, how does that work?

Usually, people ready to receive routine treatment, still need a practice specialist by their side to encourage and support them. The length and level of that support varies by individual.

3. Does a person going for treatment after a practice session have to be accompanied by a practice specialist?

Usually, that is the case. However, there are those who can move right from practice into treatment without that continued support. We evaluate with families and individuals what will ensure a successful visit.

4. If a practice specialist is needed during treatment, does insurance pay for that?

Not at this time. But for people receiving dental care who are under the age of 21 and are insured under Medicaid, we have been reimbursed for procedure support.

5. Has all staff that work with clients completed criminal background checks?





1. What insurance do you take?

We accept most insurance for covered treatments, whether in or out-of-network. As policies differ by carrier, check with our office at the time of appointment to confirm coverage.

2. What procedures are covered by insurance?

Routine dental and medical care procedures are typically covered by insurance. Our insurance specialist can help you with these questions.

3. If I don’t have insurance, can I still receive services at PWP?

We can set up a payment schedule for you if you do not have insurance to pay for our services. You can arrange to pay us directly or through Care Credit .

4. Do you charge on a sliding scale?

No. We are not a clinic. We are a fee-for-service non-profit organization.


Call our office at (302) 832-2800 and speak with Lee Lawson, our Support Services Specialist. She will answer your questions, set up your appointment and send you out an intake packet to complete.

Note: We must have intake papers completed and at our office 24 hours before the first appointment. Otherwise, we will cancel the appointment. If you expect to be late for an appointment, please do us the courtesy of calling so that we can plan ahead. If you are more than 15 minutes late, we cannot guarantee that you will be seen that day, as it is unfair to our other clients.  If appointments are missed or cancelled without 24 hours notice, we reserve the right to charge a missed appointment fee.


Practice Without Pressure Corporate.
P.O. Box 829
Bear, DE 19701

Main: (302) 419-8131
Fax: (302) 836-3126