Fee for Service and Cancellation Policy Sample Clauses

Fee for Service and Cancellation Policy. All payments will be processed through Xxxxxx.xxx. My practice is “fee for service” and that means that fees are due at the time of your appointment. Since scheduling of an appointment involves the reservation of time specifically for you, a minimum of 24-hour notice is required for re-scheduling or canceling an appointment. Unless we reach a different agreement, the full fee will be charged for sessions missed without such notification. If we are scheduled for an online synchronous chat, audio or video conference and we are unable to connect or are disconnected during a session due to a technological breakdown, please try to reconnect within 10 minutes. If reconnection is not possible, contact me to schedule a new session time. { } Yes, I have read and agree to the terms listed above in the Informed Consent. I understand that Xxx XxxXxxXxx is a Licensed Mental Health Counselor and a Distance Counselor who follows the laws and professional regulations of the State of Iowa (USA). I understand the psychotherapy treatment will be considered to take place in the state of Iowa(USA) unless the client resides in another state. If a client resides in a state where distance counseling is not provided, the counselor will get written permission from the Board of Examiners in that state before providing services. I understand that telephone/online psychotherapy is not a substitute for medication under the care of a psychiatrist or doctor. I understand that online and telephone therapy is not appropriate if I am experiencing a crisis or having suicidal or homicidal thoughts. In case of emergency situations, I will contact the resources listed in section H . above. I understand my signature is an agreement for psychotherapy services conducted by Xxx XxxXxxXxx, MSE, LMHC, NCC, EMDR Printed Name Date / / Signature
Sample 1
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Fee for Service and Cancellation Policy. 41. Current rates for therapeutic services are posted on my website. My practice is “fee for service” and that means that fees are due at the time of your appointment.
Sample 1
Fee for Service and Cancellation Policy. All payments will be processed through Xxxxxx.xxx. My practice is “fee for service” and that means that fees are due at the time of your appointment. Since scheduling of an appointment involves the reservation of time specifically for you, a minimum of 24-hour notice is required for re-scheduling or canceling an appointment. Unless we reach a different agreement, the full fee will be charged for sessions missed without such notification. If we are scheduled for an online synchronous chat, audio or video conference and we are unable to connect or are disconnected during a session due to a technological breakdown, please try to reconnect within 10 minutes. If reconnection is not possible, contact me to schedule a new session time. { } Yes, I have read and agree to the terms listed above in the Informed Consent. I understand that Xxxxx Xxxxxx is a Licensed Professional Counselor who follows the laws and professional regulations of the State of Texas. I understand the psychotherapy treatment will be considered to take place in the state of Texas. I understand that telephone/online psychotherapy is not a substitute for medication under the care of a psychiatrist or doctor.I understand that online and telephone therapy is not appropriate if I am experiencing a crisis or having suicidal or homicidal thoughts. In case of emergency situations, I will contact the resources listed in section H above. I understand my signature is an agreement for psychotherapy services conducted by Xxxxx X. Xxxxxx, PhD, LPC-S, ACS, ACN. Client Printed Name
Sample 1

Related to Fee for Service and Cancellation Policy

  • Cancellation Policy Client is responsible for payment of the agreed upon fee for any missed session(s). Client is also responsible for payment of the agreed upon fee for any session(s) for which Client failed to give Therapist at least 24 hours’ notice of cancellation. Cancellation notice should be left on Therapist’s voice mail at 925-322-1681.

  • Promotion Policy The Director of Human Resources, upon request of an appointing authority, shall determine whether an examination is to be called on a promotional basis.

  • Cancellation Policies Please refer to the Deposit and Cancellation Schedule on the previous page. Cancellation by GCRC: GCRC may, in its sole discretion, cancel an itinerary or portion of an itinerary at any time, prior to departure. Other than as a result of force majeure, GCRC will repay the deposit or charges for the itinerary or, where appropriate, a reasonable pro rata share thereof. In the event of cancellation of an itinerary in progress, GCRC may select and make available alternative transportation by bus or other means from the point of cancellation to the location where the cancelled itinerary was scheduled to conclude, or the place of its commencement, and reasonable accommodation (if any) required in the course of that return transportation. In no circumstances will GCRC be liable to provide or pay for any further payment, compensation, transportation, or accommodation including (without restriction) further transportation to your home or any other location. Except as specifically provided in this paragraph, the cancellation of an itinerary or portion of an itinerary by GCRC will be subject to the limitation of liability contained in section 10 of this Agreement.

  • Termination Policy (A) MCHCP may terminate a public entity for any of the following reasons:

  • Retention Policy City shall retain ten percent (10%) of the amount due for Required Services detailed on each invoice (the “holdback amount”). Upon City review and determination of Project Completion, the holdback amount will be issued to Consultant.

  • Reservation and Cancellation Procedure A. Unless otherwise set forth, Attendees will make their own reservations for sleeping rooms.

  • Service Cancellation You may cancel the EM Service at any time by providing us thirty (30) calendar days prior written notice. In the event you wish to cancel your EM Service, you may do so by calling 0-000-000-0000 if associated with Basic Internet Service or 0-000-000-0000 for Fios Service. If you cancel during your Term Plan, you agree to pay us: (a) all Service fees accrued as of the cancellation date and (b) a termination charge equal to thirty-five percent (35%) of the applicable monthly rate times the number of months remaining in your Term Plan. You are responsible in all cases for the full amount of telephone company circuit cancellation charges incurred by you as a result of your cancellation.

  • Termination and Cancellation 9. 1. Licences will expire after the period shown in Clause 3 (above).

  • Publication of Procurement Contract 48.1 Within fourteen days after signing the contract, the Procuring Entity shall publish and publicize the awarded contract at its notice boards, entity website; and on the Website of the Authority in manner and format prescribed by the Authority. At the minimum, the notice shall contain the following information:

  • Amendment and Cancellation We may amend or change the terms and conditions of this Agreement at any time. You will be notified of any change in the manner provided by applicable law prior to the effective date of the change. However, if the change is made for security purposes, we can implement such change without prior notice. We may cancel or suspend your Card or this Agreement at any time. You may cancel this Agreement by returning the Card to us. Your termination of this Agreement will not affect any of our rights or your obligations arising under this Agreement prior to termination. In the event that your Card Account is cancelled, closed, or terminated for any reason, you may request the unused balance to be returned to you via a check to the mailing address we have in our records. There may be a fee for this service. Subject to applicable law, the Issuer reserves the right to refuse to return any unused balance amount less than $1.00.

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