• Enter the amount that your and your counselor agreed upon.
  • American Express
  • Payment is due at the time of your appointment. Cash and check are acceptable forms of payment.
  • A credit or debit card is required to be kept on file. The card will be charged upon services rendered unless other arrangements have been made.
  • The standard fee for services is $150 per 53-minute individual, couple or family session (on the phone or in the office). Services may be offered at reduced fees based on total household income. (Note: If you’d like to request a reduced fee for services, please request and complete the Sliding Scale Application).
  • The standard fee for the initial evaluation is $200 per 53-minute session.
  • A fee of $30 will be assessed for a returned check and future payments must be made in cash.
  • Cancellations require 24-hour notice prior to the time of the appointment. You will be charged the full agreed upon fee ($200 for initial assessment/$150 for office visits) for cancelling appointments with less than 24-hour notice or for missing appointments without prior notice. This fee is NOT covered by insurance and will be billed directly to the client.
  • Phone calls in excess of 10 minutes will be billed to the client’s account in accordance with the standard session fee ($25 per 10 minutes). This fee is NOT covered by insurance and will be billed directly to the client.
  • I understand that may portion of payment (e.g., co-pay, co-insurance, full pay, etc.) will be charged to my payment card on file upon services rendered unless I decide to pay via cash or check or have made other arrangements. counseling speaks, LLC will charge the $150 missed appointment/late cancellation fee to the card on file in accordance with such instances.
  • The initial intake session will be dedicated to understanding the client’s background and current situation, assessing for immediate risks, evaluating readiness for requested therapy, providing referrals if needed, and establishing treatment goals. There may be no therapeutic counseling or intervention during the initial intake session.
  • Treatment may be interrupted or terminated after three (3) unpaid no shows, due to three (3) consecutive cancellations, or after unresolved debt of three (3) or more sessions.
  • Accounts become delinquent after thirty (30) days. Accounts ninety (90) days in arrears will be terminated. At this point counseling speaks reserves the right to enlist a collection agency to facilitate collection of monies owed.