FINANCIAL POLICY | Dyslexia Treatment Jacksonville | The Morris Center

FINANCIAL POLICY

  1. I understand that all charges are my responsibility and shall remain my responsibility until paid in full. I understand that this agreement is between me and The Morris Center and that The  Morris Center will not be expected to seek payment from other family or ex-family members. 
  2. I may be charged if my insurance company requests additional information such as copies of all the therapy notes or records. The information will be sent after payment has been received. 
  3. In order to control the cost of billings and, accordingly, lower the cost of services provided to me or to my child, all intensive treatment program charges are billed monthly and all  Transition Unit, Occupational, or other therapy charges will be calculated on a weekly basis,  paid in advance of delivery of services. All balances over 30 days old will incur a $15.00 per month handling fee. Also, by my signature below, I agree to pay for all costs of collecting any account balance including, but not limited to: court costs, collection agency fees, and/or attorney fees. 
  4. Canceling an appointment: 

    I understand that a 24-hour notice is required for cancellation of any appointment. • I understand I will be charged a Late Cancellation fee of the appointment cost or tuition daily rate if I give less than 24-hour notice unless there is a medical emergency or illness with a doctor’s note. 

    • I understand that I will be charged for the missed appointment time should I arrive late with no notice. e.g. arriving ½ hour late for 2-hour appointment = 2-hour charge for services 
    • I understand late cancellation fees will not be covered by my insurance.  
  5. No Show: 

    I understand that should I have an appointment scheduled and fail to have my child present and fail to cancel the appointment, I will pay the no-show fee of the total appointment fee or intensive program’s tuition daily rate. 

    I understand that No Show fees will not be covered by my insurance.  

  6. I understand this financial agreement will be in effect throughout the duration of my receiving services at The Morris Center. 

Financial Responsibility: I understand that I am fully responsible for all charges and that they will remain my responsibility until paid in full. The Morris Center will not be held accountable for collecting payments from other family or ex-family members.

Insurance Requests: I may incur additional charges if my insurance company requests therapy notes or records. These will be provided only after payment is received.

Billing and Fees:

Intensive treatment program charges are billed monthly.
Transition Unit, Occupational, and other therapy charges are billed weekly and must be paid in advance.
Balances over 30 days will incur a $15.00 monthly handling fee.
I agree to pay any collection costs, including court fees, collection agency fees, and attorney fees.
Appointment Cancellations:

A 24-hour notice is required to cancel an appointment.
Late cancellations (less than 24-hour notice) will result in a fee equal to the appointment cost or daily tuition rate unless due to a medical emergency with a doctor’s note.
Arriving late without notice will result in a charge for the full scheduled time.
Late cancellation fees are not covered by insurance.
No Show Policy:

Failure to cancel an appointment and failure to attend will result in a no-show fee equal to the full appointment or daily tuition rate.
No-show fees are not covered by insurance.
Duration of Agreement: This financial agreement remains in effect throughout my time receiving services at The Morris Center.

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