Fee Agreement

PAYMENTS FOR SERVICES ARE DUE IMMEDIATELY AFTER EACH SESSION
CLIENTS SHALL PROVIDE AN ADEQUATELY FUNDED CREDIT CARD

FEES FOR SERVICES:

To allow for sufficient communication time, 90-minute sessions are recommended when more than one client is present.

Individual therapy; couples therapy; family therapy; parenting therapy: $210 per hour ($3.50 per minute)
Therapy for non-court-involved individuals, families, coparents, blended families, and parent planning (separating or in mediation or collaborative law): $255 per hour ($4.25 per minute)
Therapy for adversarial court-involved individuals, families, coparents, blended families, and parent planning, including family therapy (CIFT), coparent therapy, and PCCP resist/refuse ‘reunification’ family therapy*: $270 per hour ($4.50 per minute), or per contract terms
Mediator services: separation/divorce, family disputes: $420 per hour ($7 per minute)
Emails, calls or texts regarding therapeutic advice/review: Per minute rate, or per contract terms
Client illness/other cancellations with more than 24 hours' notice: No charge
Client non-illness cancellations with less than 24 hours' notice**: Half cost of scheduled session (not reimbursed by insurance)
Client no-shows: Full cost of scheduled session (not reimbursed by insurance)
Client-requested sessions outside business hours: $100 per hour surcharge

Irregular session durations may be rounded up to the nearest 15-minute increment.

* May require a signed agreement listing detailed fees, and a deposit held in a savings account until termination of services.

** When canceling, PLEASE give as much notice as possible, in consideration for other clients looking for openings.

INSURANCE REIMBURSEMENT:

I am adequately licensed/credentialed so clients can be reimbursed by insurance plans that provide for OUT OF NETWORK (OON) OUTPATIENT COUNSELING SERVICES. Statements/superbills are provided for client-filed OON reimbursement claims. Please contact your insurance company to familiarize yourself with your insurance plan’s coverage parameters.

AGREEMENT:

Client agreement indicates that client has read, understands, and agrees to the “Fee Agreement” policy. Provision of this document implies provider’s signed agreement.