Office Policies for Keri Simon, LCSW 2016

• Session Fee: $150.00 for 50 minutes

Cancellation of Appointments:

Clients must cancel any scheduled appointments with at least 48 hours notice. Failure to do so will result in the client being charged $100.00, the hourly rate, for the appointment. Please note, your insurance company cannot be billed for cancelled or no show appointments. Clients are responsible for this charge.

Returned Check Fee:

There is a $25 fee for any returned checks. Please speak to Keri if you need to set up a payment plan.

Responsibility for Payment of Services:

Clients are responsible for full payment of services at the time that services are rendered. Clients must pay in full for any services not covered by insurance reimbursement. Please speak to Keri if you would like to set up a payment plan.

In the event your account is turned over to an attorney for collections, the undersigned agrees to pay all costs including a reasonable attorney’s fee.

Accepts all major credits cards, checks or cash. 

Credit Card Fee: There is a $2 service charge on all credit card payments.

A 2% late fee will be assessed on all accounts not paid within thirty days.