FORM – Participation and Payment Policy

The purpose of this policy is to ensure that the needs of my clients are being met. To accomplish this goal, consistent services are needed. Full participation by the client/family is expected during therapy evaluation and treatment. Homework/home activities are to be practiced as assigned to enhance, develop, and maximize outcomes. Please review the following:

• Occasional absences and cancellations do occur. If it is necessary to cancel your appointment, please cancel at least 3 hours in advance of the scheduled appointment time. You may call or text:  (260) 312-2703
• If the appointment is canceled with less than 3 hours' notice, you will be charged 50% of the session fee.
• A “no show” is defined when the session has not been canceled but the session cannot be held for whatever reason. In this instance, you will be charged 75% of the session fee.
• Continued cancellations or 2 or more “no shows” will result in suspension or termination of services.

Payment is dependent on the type of session and its length of time:

Voice Evaluation
The initial session consists of a Voice Evaluation to include perceptual and acoustic assessments, voice recordings, client self-ratings of voice disturbance, and relevant discussion. Information gathered at the time of your Voice Evaluation is used to individualize and develop your treatment plan. The voice Evaluation typically takes between 75-90 minutes to complete and is $140.00.

Voice Therapy
Subsequent appointments consist of Voice Therapy sessions that address individualized treatment goals, progress, and maintenance through a variety of behavioral and physiologic approaches. Voice Therapy sessions typically take 1 hour and are billed at $95.00 per hour with additional 1/4 hour increments as follows:

0-60min	$95.00
61-75min	$118.75
76-90min	$142.50
91-105min	$166.25
106-120min	$190.00

• Payment is expected in advance of services. Cash, check, or PayPal are all acceptable forms of payment.
• If an invoice/receipt for services is needed, please let me know prior to your session date.