Common Contracts
1 similar Financial Agreement contracts
Financial AgreementFinancial Agreement • May 31st, 2021
The fee for each 45 minute counseling session is $120. Payment for each counseling session should be made at the beginning of each session. Payments are rendered by cash, check or credit card. If you have made arrangements with a third party payor to cover all or part of the therapy services fees, please complete the separate Release of Information form and include appropriate information in the Client Background form. If you are responsible for a portion of the fee, your portion should be paid at the beginning of the session and the remainder will be billed to the third party payor. Other work (written reports, phone consultations, etc.) will be billed in fifteen minute increments at the rate of $30 per fifteen minutes.
