Common Contracts

1 similar Client Intake Form contracts

Success Strategies Unlimited, Inc Jennifer Dunham, LPC, LPC-S, CHT Client Intake Form
Client Intake Form • December 28th, 2021

A session lasts 45 minutes; a half session lasts 25 minutes. Full payment is expected at each session. Your session time is reserved for you. There is a charge of $165 for appointments not kept, canceled, or rescheduled within 24 hours for any reason. This fee is NOT billable to insurance companies. Phone consultations over 5 minutes are charged at the rate of $3.00 per minute for the full duration of the call. A fee of $35.00 is charged for returned checks.

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