Client Forms

Client Forms - Healing Hearts Counseling - Montgomery, AL

No Show, Cancellation and Co-payment Policy & Form(s)

To download and print a copy of our “Policies” form, click here »

(Above link will open a PDF file in new window.)

Our Policies:

  • Late Cancellation fee of $75 will be charged in the event a client fails to give at least 24 hour notice prior to cancelling an appointment.
  • No Show fee of $75 will be charged if a client fails to show for an appointment.
  • Clients are responsible for knowing their co-payment amount and deductible amount.
  • The above stated charges are considered a client out of pocket expense and your insurance carrier will not cover these charges.
  • Therapy sessions will last 45 minutes. If a client is late for an appointment, the pre-scheduled session will end at the allotted time.