Common Contracts
1 similar null contracts
AGREEMENT FOR SERVICE/INFORMED CONSENTMay 27th, 2020
Payment is due at the beginning of each session. The usual and customary fee for service is $125.00 for a 45 minute session, $150.00 for a 60 minute session, $175.00 for an initial assessment and $150.00 for a 50 minute couples session. We reserve the right to periodically adjust this fee, with advance notice. In addition, this fee may be adjusted by contract with insurance companies or other third party payors or by agreement with us. Please be aware that insurance companies have restrictions on what they will cover and not all issues that may bring someone to therapy are covered by insurance. You are responsible for any and all fees not reimbursed by your insurance company, managed care organization, and any other third party payor.
