Client Commitments and Financial Policy
This outlines our commitment to you, our valued client, as well as our expectations of you. Please read and sign to acknowledge your agreement. Thanks so much! We celebrate and deeply honor your commitment to growth, healing, and transformation. When we say YES to these things, to the life and relationships we really want, amazing things start to happen. Our sessions are a judgment-free zone, and we will hear you with open hearts and minds and will keep everything shared in total confidentiality (unless required by law to report it). You can find a complete copy of our Notice of Privacy Practices at CenterThrive.com/ClientForms which outlines your rights and our responsibilities under HIPAA. Your signature below confirms your consent to the release of personal information for billing purposes, such as insurance claims. Please let us know, at the beginning of the session, if you need to leave right after the designated amount of time we’ve set. Insurance sessions must be kept to only 53 minutes or less per covered individual (53 minutes is a one-hour session). For cash clients, if scheduling allows, you do have the option of allowing your session to extend past the scheduled amount of time. In these cases, you will be charged for the actual total time of the session. You agree to assume and accept full responsibility for any and all risks associated with utilizing the techniques presented to you. You understand that Eartheart LLC accepts no responsibility or liability whatsoever for the use or misuse of the information presented or any techniques, processes, suggestions and activities that occur within or beyond a session. Please have your payment with you, as it is required at the time of service. Payment can be made as cash, credit card, or check. CANCELLATION POLICY: Please provide at least 24 hours’ notice if you need to cancel. If you cancel less than 24 hours before your appointment, you will be charged $35 per hour. If you miss an appointment without contacting us at least six hours beforehand, you will be charged the full session fee. This time slot was not available to be filled by another client, and preparations and scheduling considerations were made based on your session. Thanks very much for honoring this. We may have clients scheduled directly before you. If you are coming in person, please let yourselves in and make yourselves at home in the waiting room. We will be out to greet you. FINAL LOVING NOTE: Coaching and counseling works like so many other things in life – the more you put into it, the more you get out of it. We invite you to open your mind and heart to all the new possibilities available to you, to stay present with the process, to be willing to change and grow and see things differently, to ask for whatever you need, to share your most honest thoughts and feelings, and to put into practice what we explore together. It can also be helpful to come to each session with clear goals. We know your time is precious, and we want to make the absolute most of our moments together and to serve and support you as best as possible. This will allow you to receive the maximum benefits. We truly look forward to the journey ahead and supporting you in every way we can!