Common Contracts
1 similar Individual Service Agreement and Office contracts
INDIVIDUAL SERVICE AGREEMENT AND OFFICE POLICIESIndividual Service Agreement and Office • July 27th, 2022
Phone Consultations: I understand and agree that while sessions are not conducted by phone, should I feel the need to speak with my provider in between regularly scheduled visits at The Center, I may request the office staff of The Center to arrange a phone consultation between myself and my provider. I understand that any such consultations will be considered emergency services by The Center, and that any fees associated with these services are not billable to my insurance carrier (company). If an emergency phone consultation is initiated by me (the “Client”), The Center reserves the right to apply a $25.00 fee to my account for each period of up to 15 minutes. I also understand that, as The Center is not equipped to provide emergency services, my provider may not be available for immediate consultation, and that I will be connected with my provider at his or her earliest convenience. I understand that in a true crisis situation, I will be advised by The Center to contact appropriate
