Client Fee Adjustment Request -

Client Fee Adjustment Request (March 2020)

In recognition of current conditions of economic uncertainty I have decided to offer a fee reduction to my existing clients. Please complete and submit the form below to select the weekly per session fee to which you are currently able to commit. Please select the highest option you are currently able to afford as this will allow me to continue working with clients currently experiencing a higher degree of economic hardship.

Name*
First Last
Per Session Cost That I Am Currently Able to Afford*
- $80/session on Weekly Basis
- $100/session on Weekly Basis
- $120/session on Weekly Basis
- I do not need a fee adjustment at this time.
Additional Comments or Requests
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