Fee Agreement

GENERAL INFORMATION:

  • PAYMENTS FOR SERVICES ARE DUE AND SHALL BE ABLE TO BE CHARGED TO CREDIT CARD ON FILE IMMEDIATELY AFTER EACH SESSION 

  • CREDIT CARD SECURELY ON FILE WILL BE THE ASSUMED METHOD OF PAYMENT UNLESS OTHERWISE INFORMED BY THE CLIENT (payments for in-person sessions may be made via check or cash, per client’s preference; there will be a $30 service charge for any returned checks).

RATES:

  • Individual counseling, couple/family counseling, parent coaching or parent w/child counseling: $250 per 50-minute session (not applicable if court-recommended; see below)

  • Court-involved/ordered coparent/family therapy*:  $275 per 60-minute session (not reimbursed by insurance)

  • Court-appointed reunification therapy*:  $300 per 60-minute session (not reimbursed by insurance)

  • Extended counseling session, upon client request: $4 per minute

  • Emails, calls or texts regarding therapeutic advice/review: $4 per minute

  • Emails, calls or texts regarding scheduling: No charge

  • Illness/other cancellations with more than 24 hours' notice: No charge

  • Non-illness cancellations with less than 24 hours' notice**: $250 (not reimbursed by insurance)

  • Client-requested sessions outside business hours:  Double rate

 

*Requires a signed agreement with 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.

 

COURT APPEARANCE (IF APPLICABLE): 

If I am subpoenaed by the Court to appear in your family’s case matter, you agree to pay the charge of $500/hour (with $10,000 retainer, replenished if falls below $5,000) for my preparation or document production time, travel to and from time, and time waiting and/or testifying in court, plus costs incurred for my own legal representation.

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.