Prices and Policies Sessions
Initial evaluation $125 for a language evaluation, $75 for an evaluation of only speech sounds without a language component. The evaluation fee includes a report of the client’s skills, a review of plan for future treatment and any necessary technical support. If an evaluation has been conducted by a qualified Speech-Language Pathologist within the last 3 months, a portion of the evaluation fee may be waived, pending receipt of the results.
On-going treatment $45 charge for a 25-minute session
Payment and Attendance Policy: If you are unable to participate in your scheduled session, please call us by 9:00 a.m. the day of your session to reschedule or to cancel. Any sessions canceled after this time will result in a charge for the session. Any client that is not able to maintain 80% attendance over a 6-week span may be placed on hold until consistent attendance is able to be achieved and a new spot is available for the client.
Invoices are sent at the end of each month and are due in full within 7 days of receiving the invoice. Lack of payment will cause clients to be placed on hold until payment is received and a new spot is available.
Some sessions may be completed using the telehealth model using real-time interactions. You always have a choice to use the telehealth model which can be changed at any time.
Agreement Confirmation I have read, understand, and agree to this Attendance and Financial Policy. I understand this charge is my responsibility and is payable at the time of service. If billing insurance, I give permission for Expressions Therapy to bill and accept payment on my/my child’s behalf.
PLEASE NOTE: Expressions Therapy does not charge interest or billing fees; however, in the event of any payments not being paid in 30 days, will add a monthly finance charge to my account in the amount of 1.25 % (15% APR). Finance charges will accrue from the original charge date. This fee is enforced to keep costs at a reasonable level, thus preventing frequent increases in the fees for speech-language services. Please give an electronic signature
HIPPA Policy Your Information. Your Rights. Our Responsibilities.
Effective August 1, 2017, this notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Your Rights You have the right to:
Get a copy of your paper or electronic medical record Correct your paper or electronic medical record
Request confidential communication
Ask us to limit the information we share
Get a list of those with whom we’ve shared your information
Get a copy of this privacy notice
Choose someone to act for you
File a complaint if you believe your privacy rights have been violated.
Waiver of Liability To the extent permitted by law, Customer agrees to release Megan Knowles, LLC d/b/a Expressions Therapy and all employed contractors from all liability relating to claims, charges, demands, damages, injuries, liabilities, losses, expenses, and liabilities of whatever nature and howsoever arising (including but not limited to any legal or other professional fees and the costs of defending or prosecuting any claim and any loss of profit, goodwill, and any other direct or consequential loss) incurred or suffered by Megan Knowles, LLC d/b/a Expressions Therapy and all employed contractors, directly or indirectly by reason of any act or omission.
Changes to the Terms of this Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website Expressions Therapy Megan@expressionstherapy.com
Sign Below I accept the above terms and I am participating voluntarily; all risks have been made clear to me.