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FINANCIAL AGREEMENT for Moving Forward, PLC Please Print all InformationFinancial Agreement • October 3rd, 2019
Payment for sessions is due at each visit unless other arrangements have been determined on an individual basis. Payment may be made by check, cash or credit card. If there are particular obstacles in making payments, we are willing to make a suitable payment agreement with you which would be written and signed by both of us. Should your account remain unpaid for over 30 days, we may suspend sessions until the balance is paid in full and/or assess a monthly interest fee.
