AGREEMENT FOR SERVICE/INFORMED CONSENTService Agreement • June 25th, 2015
Contract Type FiledJune 25th, 2015Payment is due at the beginning of each session by cash (exact change) or check (made payable to Bond Buchanan). The usual and customary fee for service is $100 for a 45 minute session. Private pay only. No insurance accepted.
AGREEMENT FOR SERVICE/INFORMED CONSENTService Agreement • June 25th, 2015
Contract Type FiledJune 25th, 2015Payment is due at the beginning of each session by cash (exact change) or check (made payable to Bond Buchanan). The usual and customary fee for service is $100 for a 45 minute session. Private pay only. No insurance accepted.