I understand that I am directly and fully responsible to Calvary Counseling Center for all services rendered to me and/or members of my family by Calvary Counseling Center. I further understand that such payment is expected when services are rendered and is not contingent on any settlement, judgment or insurance payment by which I may eventually recover said fee. Calvary Counseling Center will provide me with receipts, which I can file with my insurance company for reimbursement consideration.
I understand that all services rendered by Calvary Counseling Center are final and non-refundable.
I understand that all diagnoses and opinions in reports and/or evaluation assessments are offered with a reasonable degree of psychological certainty.
I understand that all outstanding balances must be paid in full or satisfied prior to completion of recommended services/treatment plan.
I understand that drug screenings, psycho-educational groups (DUI,HOPE), brief solution focus sessions, individual and discharge sessions are invoiced through SQUARE (www.squareup.com).
I understand that all fees are non-refundable and/or transferable.
I understand that no show fees and cancellation fees are $100.
I have read the above and understand my responsibilities in each instance regarding payment of services rendered.