Fee Agreement

PAYMENTS FOR SERVICES ARE DUE IMMEDIATELY AFTER EACH SESSION
CLIENTS SHALL PROVIDE A VALID CREDIT CARD WITH ADEQUATE CREDIT LIMIT

FEES FOR SERVICES:

Individual couple, family, or parenting therapy: $190 per 50-60 min session ($3.20 per minute extended session)
Court-involved family therapy (CIFT), coparent therapy, resist/refuse ‘reunification’ family therapy, blended family therapy, individual divorce coaching, parent planning for separating parents*: $285 per hour ($4.75 per minute extended session)
Professional consultation: $285 per hour ($4.75 per minute extended session)
Mediation: separation/divorce, family disputes*: $420 per hour ($7 per minute extended session)
Emails, calls or texts regarding therapeutic advice/review: Extended session per minute rate (or per contract terms)
Emails, calls or texts regarding scheduling: No charge
Illness/other cancellations with more than 24 hours' notice: No charge
Non-illness cancellations/no shows with less than 24 hours' notice**: $100 (not reimbursed by insurance)
Client-requested sessions outside business hours: $100 surcharge

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

** When cancelling, 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.