child psychologist

$120 session fee payment form for Dr Aileen Alegado (Mindset Psychology) Clients- complete this form to pay your session or canellation fee.

  • Terms and Conditions and Consent

  • 1. Dr Aileen Alegado is your "treating psychologist" responsible for your care, you are "the client" (yourself or the child or adolescent you are organising services for), and Changes Psychology is the admin and billing service "provider" that is only responsible for processing clients' bookings, billing and client administration only. By signing this agreement you are agreeing to the provision of services under this arrangement

    2. Privacy - We work like a virtual clinic office, collecting and managing personal and medical information provided by you and your psychologist, which naturally includes sensitive health information. For more about privacy, and who to contact if you have questions regarding privacy, see our Privacy Policy

    3. Medicare clients - For clients who have been referred by a GP or Psychiatrist, Dr Alegado is required by Medicare to write a letter back to the referring doctor detailing your assessment, treatment and progress after the completion of a block of sessions approved by your Mental Health Treatment Plan or referral to receive the $126.40 Medicare rebate. By signing this agreement you consent to communications and information sharing between Dr Alegado and your referring Doctor

    4. Session fees = $240 per hour for every session of approximately 50-60 minutes. Also note that there may be future session fee increases to cover increased practice costs. There are packages available for up an front commitment of 5 or 10 follow up sessions which can give you discounted session rates of $220 per session or $210 per session respectively

    5. Cancellation Policy: more than 24 hours notice is required to cancel or reschedule, or a $240 cancellation fee will apply. We depend upon your co-operation regarding your attendance and in the keeping of appointments. The reason we have a cancellation fee is because when an appointment is booked, that time has been set aside for you and only you. Most of the time, it is not possible to fit another client in at the last moment, and consequently if the session is not covered by you, the practice must bear the loss of that session fee. Our business cannot operate effectively without this policy. By asking for 24 hours notice, we have time to check our waitlist and book another person in. If we can get another client to take your session, we of course do not charge you for the session. In this matter we rely upon your courtesy and hope that you let us know in advance if you cannot attend. Please note that cancellation fees apply to all cancellation circumstances, however a fee can be avoided by giving adequate notice.

    6. Session fees will be payable to Dr Alegado via Eftpos terminal or cash at the end of every session or payment can be made via our NAB online payment system. For any cancellation fees charges, or session payments not made on the day, you will be required to provide a card via our online payment system to pay this cancellation fee before you are able to re-book another session.

    7. The practice has word of mouth referral incentive program - so please email us if you were referred by a friend and we can give them a follow up session bulk billed session. The same applies to any referrals to us made by you

  • Price: $ 120.00
  • $ 0.00