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LAC/LAMFT Fee Schedule Mobile App

A simple mobile application to assist LAC/LAMFT professionals in digitally charging their clients and providing fee schedule during the session. Get client's approval for charges by capturing signatures right from the mobile device. Use your favorite device to do all of this. The fees and services listed serve as a template. You can modify the pricing and service descriptions to meet your requirements easily.

Also check out GoCanvas's Collection Agency Bill Reminder Notices.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the LAC/LAMFT Fee Schedule Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

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    Standard fees for services

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    Initial Assessment and Evaluation (45-60 minutes) - $95.

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    Individual, Couple, and Family sessions (45-60 minutes per session) - $95.

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    Individual Sessions (75-90 minutes) - $142.

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    Individual, Couple, and Family sessions (75-90 minutes) -$142.

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    Court reports and/or court related work - $250.

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    Returned Checks - $35.

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    Special Services and Fees

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    Occasionally important or emergency phone calls to your therapist are necessary.

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    Your appointment time is reserved for you.

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    Additionally, if you arrive to your appointment impaired by drugs or alcohol (as determined by th...

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    Payment

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    Prompt payment is expected on the date of your scheduled appointment prior to start of session.

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    The agreed upon fee for counseling is $ per session

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    Initial

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    Collections

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    If you accrue an outstanding balance, please speak with your therapist to determine a reasonable ...

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    In cases where a failure to pay in a timely manner occurs, the services of a collection agency ma...

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    The losing party will also be responsible for attorney and other legal fees that may be incurred ...

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    Initial

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    My signature below signifies my understanding and acceptance of the above information, as well as...

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    Signature

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    Date

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    Signature

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    Date

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    Witness

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    Date

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    Credit Card Information

  • ...and More!

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