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Billing Info
Payment Terms:  
1. Fixed Price Amount: $75.00 per session if insurance does not cover. No out of pocket charges will be collected until September, 2020 / INTEREST FREE
2. When able to return to an office setting, in the event the opportunity to bill the insurance is available, and if authorized, the patient will be notified.
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Disclaimer

The document is strictly confidential and solely for the use of J. Stiene Speech Pathology teletherapy. This document has been prepared for consent and authorization purposes only. The creator and provider of this document expressly disclaims any and all liability with respect to actions or omissions based on this document. While safeguards have been implemented to insure website and data system confidentiality, this website is not HIPAA compliant given the current pandemic.