Common Contracts
1 similar Fee Agreement contracts
FEE AGREEMENT FOR CLIENTS WITH INSURANCE COVERAGEFee Agreement • June 21st, 2018
The Jewish Social Service Agency (JSSA) is a private nonprofit organization that provides comprehensive assessment, case management, counseling, and social services for children and adults of the Greater Washington area. Clients are seen on an appointment basis. Clients are responsible for providing JSSA with 24 hours (business hours) advance notice to cancel an appointment and avoid being charged for a failed visit. Failed visits are not reimbursable through insurance, and you will be responsible for payment. Late arrivals will also be considered a failed appointment, and you will be responsible for that part of the visit not billable to insurance.
