Counseling Payment Agreement Name of PatientCounseling Payment Agreement • October 24th, 2016
o If an economic hardship develops, a reduced fee or other accommodations may be available. Please present 1040 tax form. Federal guidelines will be followed.
Counseling Payment Agreement Name of PatientCounseling Payment Agreement • March 6th, 2023
o $30 per Telephone consultation/Collateral Contact/Case management (over 10 minutes) (not covered by insurance). Care management services may be covered by insurance, copay/deductible may apply
Counseling Payment Agreement Name of PatientCounseling Payment Agreement • June 24th, 2019
o $30 per Telephone consultation/Collateral Contact/Case management (over 10 minutes) (not covered by insurance). Care management services may be covered by insurance, copay/deductible may apply
