Initial Appointment Form
You may download the following form (PDF), should you wish to familiarize yourself with it before your first appointment. It will save time in your first appointment if you print and fill in this form, and bring it with you, rather than filling it out during your appointment.
LEPAGE ASSOCIATES SERVICE AND FEE AGREEMENT FOR BUSINESS SERVICES
Information Concerning The Practice, Financial Arrangements, and Confidentiality
Information on FREE Initial Consultation:
We recognize that when choosing a psychologist – whether for yourself, your family, or your company – it will be important for you to feel the professional you choose will be a “good fit.” Finding the right psychological services provider is a unique task, as this person will generally be addressing very personal issues with you, your family, or your employees. It can be daunting to worry that as part of your quest to find the right psychologist to meet your needs, you may perhaps pay for one or more sessions with people who don’t turn out to be a good fit. As a professional courtesy, to help make your search for the right psychological services provider easier, we will not charge you for our initial consult about your business needs of you decide not to utilize us. In fact, if we aren’t a good fit for you, we will be happy to talk with you about what you’re looking for, and give you the names of other psychologists that fit your description. If you decide that we are a good fit and to use our services, only then will we charge you for the first meeting. If at the end of the first meeting you still have other appointments set up in your search for a psychologist, we will not charge you then, and will instead bill for the first meeting only if you decide we are a good fit and return to use our services. We hope that this policy makes your search for the right psychological services provider a bit easier.
Information on payment:
For your convenience we accept credit cards, checks, and cash.
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