Common Contracts
1 similar Agreement for Payment - Consent for Services contracts
A Place to Heal... The Courage to ChangeAgreement for Payment - Consent for Services • April 7th, 2016
We also have Adjusted Fees for those whose income cannot support the Standard Fee. There is a 24 hour cancellation policy and you will be charged a late Cancellation Fee. The Standard Cancellation Fee is $60, or your Adjusted Fee, if it is below $60. This is necessary because a late cancellation does not allow sufficient time to fill the cancelled hour. Please complete the following information on both pages, including the signature and date on page Two, and return to your therapist.
