Consent of Fee for Services
$120 for 60 minutes
Payment Required Before Services Provided
The full payment for services must be received prior to the start of the services. This allows us to focus on the content of our appointment without worrying about the hassle of payment.
You can either choose to pay when you book or pay later. If you choose to pay later, the payment will be processed during the 24-hour period prior to your appointment. Therefore, you will need to have a credit card on file.
A receipt will be provided to you when payment is received for you to submit to third-party insurance (if applicable).
Twenty-four (24) hours notice is needed to cancel/reschedule your appointment. This gives an opportunity for someone else to use that appointment slot. If 24-hour’s notice is not provided, a fee of $25.00 will be charged to you.
If you have pre-paid for sessions that you end up cancelling, the payment will be refunded to you. A $25 cancellation fee will be subtracted from the refund if applicable.
Notes regarding Medical Records
Record of Review
|December 6, 2021||Minor||Updated spelling and grammar. Added record of reviews|
|November 9, 2021||Intial||Initial version of policy.|