NON-TRADITIONAL FEE PAYMENT AGREEMENT


Melissa Parenteau, MA, LPC                                                                                                         Hill Country LPC
Psychotherapist                                                                                                                Fredericksburg, Tx 78624
512-762-6841


 

I agree to make payments to Melissa Parenteau, MA, LPC for the counseling services rendered in the amount of $85 for each 45-50 minute session. This amount will be pro-rated for sessions lasting shorter or longer than 45-50 minutes.

This agreement is effective the date signed by both parties.  This agreement may be terminated by either party using verbal, telephone or email communication and/or when therapy ends.

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Signed by Melissa Parenteau M.A., LPC
Signed On: October 12, 2023


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Document name: NON-TRADITIONAL FEE PAYMENT AGREEMENT
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October 12, 2023 10:04 am CDTNON-TRADITIONAL FEE PAYMENT AGREEMENT Uploaded by Melissa Parenteau M.A., LPC - melissa@hillcountrylpc.com IP 151.213.182.188