Client Agreement and Therapeutic PoliciesConsent for Services • August 31st, 2017
AGREEMENT FOR PAYMENT AND FINANCIAL RESPONSIBILITIESConsent for Services • July 23rd, 2021
Care and Counseling is a non-profit counseling center, accredited by The Solihten Institute. The standard fee for a first evaluation appointment is $190 and the standard fee for ongoing counseling is $175 per 38-67 minute session. We also have a Client Assistance Fund for those whose income cannot support the standard fee. Annually we review fees and renew the agreement for payment. There is a cost of living increase typically 1-2% each year. Please complete the following and return to your counselor.
Therapist: AGREEMENT FOR PAYMENT AND FINANCIAL RESPONSIBILITIESConsent for Services • November 20th, 2019
Care and Counseling is a non-profit counseling center, accredited by The Solihten Institute. The standard fee for a first evaluation appointment is $190 and the standard fee for ongoing counseling is $175 per 38-67 minute session. We also have a Client Assistance Fund for those whose income cannot support the standard fee. Annually we review fees and renew the agreement for payment. There is a cost of living increase typically 1-2% each year. Please complete the following and return to your counselor.
Therapist: AGREEMENT FOR PAYMENT AND FINANCIAL RESPONSIBILITIESConsent for Services • April 7th, 2020
Care and Counseling is a non-profit counseling center, accredited by The Solihten Institute. The standard fee for a first evaluation appointment is $190 and the standard fee for ongoing counseling is $175 per 38-67 minute session. We also have a Client Assistance Fund for those whose income cannot support the standard fee. Annually we review fees and renew the agreement for payment. There is a cost of living increase typically 1-2% each year. Please complete the following and return to your counselor.
Client Agreement and Therapeutic PoliciesConsent for Services • November 16th, 2017
Therapist: AGREEMENT FOR PAYMENT AND FINANCIAL RESPONSIBILITIESConsent for Services • April 7th, 2020
Care and Counseling is a non-profit counseling center, accredited by The Solihten Institute. The standard fee for a first evaluation appointment is $190 and the standard fee for ongoing counseling is $175 per 38-67 minute session. We also have a Client Assistance Fund for those whose income cannot support the standard fee. Annually we review fees and renew the agreement for payment. There is a cost of living increase typically 1-2% each year. Please complete the following and return to your counselor.
Client Agreement and Therapeutic PoliciesConsent for Services • November 16th, 2017
INFORMED CONSENT FOR SERVICESConsent for Services • January 23rd, 2019 • North Carolina
Please review this agreement carefully, as it sets forth the understanding between you (“Client”) and the Kellin, Foundation regarding the services you have requested and we will provide for you. If you have any questions, concerns or issues about the content of this Agreement please contact us for clarification before signing it.
