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2020 GA PathLight Counseling Financial Agreement

2020 GA PathLight Counseling Financial Agreement-2025

2020 GA PathLight Counseling Financial Agreement Preview on Page 1

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4.8 out of 5

72 votes

The document outlines the Financial Agreement for PATHLIGHT COUNSELING LLC, detailing policies on cancellations, missed visits, and fees associated with court attendance, communication with other professionals, and record requests. It specifies that non-emergency cancellations require 24 hours' notice and incur a $50 fee if not adhered to. Clients are responsible for payment at the time of service and must provide credit card information for various charges. The document also includes terms regarding dismissal due to excessive cancellations and authorization for credit card payments.

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Click ‘Get Form’ to open the 2020 GA PathLight Counseling Financial Agreement in our editor.
Begin by filling in your personal information at the top of the form, including your name and contact details. Ensure accuracy for seamless communication.
Review the Cancellation/Missed Visit Policy section carefully. Acknowledge your understanding of fees associated with missed appointments by signing where indicated.
In the Payments section, select your preferred payment method and provide necessary credit card details. Remember, this information will be stored securely for future transactions.
Complete the Authorization for Credit Card Payments section by filling in your card type, number, expiration date, and CVC code. This step is crucial for processing payments efficiently.
Finally, sign and date the document at the bottom to confirm that you have read and agree to all terms outlined in the agreement.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (72 Votes)
2018	4.3 Satisfied (68 Votes)

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