Rhonna W. Phillips
Counseling & Therapy Services, LLC

LPC-S and LMFT

 
     
   
     
 

Email: RPhillips@BirminghamCounselor.com
Website: www.BirminghamCounselor.com
Work Cell: (205) 356-9834
Mailing Address: P.O. Box 26387 Birmingham, AL 35260
Physical Address: 1320 Alford Avenue Suite 101 Birmingham, AL 35226

 
     
 

PAYMENT FOR PROFESSIONAL SERVICES:

Your rights for a Good Faith Estimate under the No Surprises Act. Jan 1, 2022
Click Here for Downloadable PDF

Payment is always due prior to the start of our appointment. For appointments we agree to verbally, I require a $ guarantee by having your identification and bank card, physically on file. I do not file Insurance. I provide receipts for all forms of payment. You are advised to keep your receipts, by year, for potential tax deduction purposes. I ask for bank card info to keep in your physical file.

For payment, I accept:

1. Cash at the office; Venmo or Pay Pal, though I prefer to not incur their fees. 

2. A credible local check. Any returned checks will have a $40.00 fee due prior to your next appointment & you may become cash pay only.

3. Credit/debit/HSA cards by prepayment electronically, through my website appointment and payment software, Square. Voluntarily choosing to use leave this info electronically on file is YOUR accepting the risks of unforeseen data or security breaches. Refer to SquareUp.com/security.

4. Using Square devices in my office. You can Dip your chip, Tap for contactless pay, or Swipe your magnetic strip; prior to the start of your session.

5. Cards manually keyed in or processed by me, via Square. I reserve the right to charge the 3.5% + service fees to the client/cardholder, especially for cancelation refunds.

 
 

RATES:

INDIVIDUAL
INTAKE Session for Individual Adult, Child or Adolescent: 80 min. $135.00; Individual Counseling/Therapy follow up session: 50 min. $110.00 or 80 min. $165.00. Individual ADHD Assessment: 120 min. $165.00.

CONJOINT (2 or more persons)
INTAKE Family/Couples Session: 80 min. $145.00; Family/Couples Conjoint Counseling Session: 50 min. $130.00 or 80 min. $195.00. 

Collaborative Divorce Coaching: Orientation: no charge; Each Coaching Session:
50 min. $200.00; Retainer paid up front for Case Management: 8 hours $1,600.00.

Please DO NOT send anyone in the place of, or in addition to, the identified client(s) who the appt is named for. Please discuss any substitution with me in advance. There are clinical reasons for this.

If YOU extend a session 15 min. or more, the additional service fee is due
before the next session. CRISIS session rates may vary according to
appropriateness of the request.

Group Counseling/Therapy Screening: 50 min. $75.00;
Group Counseling/Therapy Session: 80 min. $65.00; 110 min. $75.00.

ALC Supervision of a Counselor in training is payable only by Cash or Check or Apps without fees because my rates are already highly discounted in appreciation of the challenges of getting started. Individual 1-1 & Mini Group of 2 Session: 50-60 min. $50.00; 80-90 min. $70.00; 110-120 min. $90.00; or Group Session (3+): 50-60 min. $40.00; 80-90 min. $55.00; 110-120 min. $70.00.

There will be a limited number of slots available for HARDSHIP rates. Considered on a case-by-case basis. May be a temporary arrangement. Only Cash, Check or non-fee APP payment is accepted.

 
 

SHORT NOTICE CANCELATIONS,
NO-SHOWS & RESCHEDULING:


The appointment you set and agree to is YOUR responsibility. If you choose, my appointment software Square, will send you an automated reminder via email or text or both; it is your choice.

Things beyond your control can arise and I am understanding of these. Otherwise, 24 hours notice is required to avoid the fee. To CX or R/S on short notice or during non business hours, please call & leave me a message. The fee is 50% of the published or your contracted rate. This must be paid prior to any future appts and can be charged to your card on file as your appt. guarantee.

Cancelations which qualify for a refund, will be made in a form at Rhonna’s discretion. I also reserve the right to charge the 3.5% + service fees to the client/cardholder, especially for CX refunds.

Multiple late CX’s, R/S’s or NS’s will indicate to me that you are not available for or invested in counseling/therapy at this time and our work will be suspended.

 
 

OTHER FEES:

I charge for my time spent pertaining to my client/s, other than the scheduling of appointments. Contact outside of sessions, of less than 10 minutes, will NOT be charged. Longer than 15 minutes will be rounded to 15 min increments and charged according to our contracted payment agreement. Please, NO email or text for clinical emergencies, CALL ME for safety or time sensitive matters.

Outside-of-session fees cover all contact including by phone, email, text, letters, homewk and case management (Requests for personal SuperBill receipts, requests for letters, record reviews, copies, reports, summaries, consultations, response to legal matters, and duplicate receipts, statements of payments, etc). For ex: a 15 min. phone consult for an Individual client at regular rates, would be $27.50. Or a 30 min. record review and writing of a letter for one or both members of Couple’s Therapy would be $65.00. These payments are due prior to sending out any requested information and before our next appointment.

If you are involved in a LEGAL matter and I am requested by you, subpoenaed by your attorney or the opposing party's attorney, mandated to make a report to authorities, and/or ordered by a judge to respond in any manner, my time will be charged for in 15 minute increments according to our current contracted payment agreement. Further examples of billable time include, review of & copying your file, travel, waiting on-site, consulting your attorney, giving a deposition electronically or in person, and/or testifying. Mileage will be billed at IRS reimbursement rates. Additionally, any professional consultations or attorney fees incurred by me, related to your case, will be billable to you.

 
 

COLLECTIONS:

Reasonable notice will be given, including the opportunity to discuss a payment plan. I reserve the right to use any and all legal means to collect payment that is due to me. This may include billing you via certified mail, my charging your credit/debit card that is on file, contacting your approved 3rd party payer, use of collections services, placing a lien on your property, small claims court and notifying the Credit Bureau. By initialing and signing you are consenting to these disclosures.