Counseling Fee, Scheduling, And Cancellation Agreement
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File Size 52.37 KB
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Create Date March 22, 2021
Last Updated March 22, 2021
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Description

Understanding your payment process


I understand that payment is due at the time of each counseling or group session. Payment must be in the form of cash or check (please make checks payable to Jacqueline Small). I understand that I will need to reschedule a session if I cannot make payment at the scheduled appointment time.

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