The customary fee for services rendered through this
office is $125.00per session for individual sessions and $40.00 per
session for group sessions.
The initial assessment fee is $ 175.00. Fees for
psychological testing andforensic interventions vary and will be
provided at the initial consultationregarding court appearances and
testing sessions.
All fees are due at the beginning of the session.
Personal Checks areaccepted in the amount due only and should be
made payable to:
Orlando Counseling Center for Children, Families and
Adults P.A.
A sliding fee scale is available. No child is
refused services due to aninability to pay; however, there is an
obligation of the parents to explore avariety of pay sources. This
office will assist with that process.
I agree to pay $
per session.
If applicable, I agree to allow The Orlando
Counseling Center for
Children, Families and Adults P.A. to directly bill
my insurance company. I
have contacted my insurance company for
authorization and consent to the co-pay, which is $.
Insurance company name and contact phone number:
