Payment and Cancellation Policies:

For In-Network sessions, the co-payment (if any) is due at the beginning of each session. I will automatically bill the insurance company for the balance due. You will be billed for balances not paid by the insurance.

For Out-of-Network sessions, payment in full (cash or check) is due at the beginning of each session. Documentation will be provided to assist your billing the insurance company for reimbursement.

For self-pay clients, payment in full (check or cash) is due at the beginning of each counseling session. An additional fee of $30.00 will be charged for checks without sufficient bank funds.

You will be charged the full-session fee if you miss a session without providing at least 24 hours advanced notice.




 

 


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Sandra E. Shields, LICSW, BCD
Telephone: (206) 780-6747 : E-Mail Sandra@SandraShields.com
175 Parfitt Way SW, N-250 / P.O. Box 11486, Bainbridge Island, WA 98110
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