Inside Health Institute - Payment Options
Please choose the option that best suits your needs.
At Inside Health Institute, we believe that whole wellness should be accessible. To accomplish this, we offer a payment system that allows you to choose how much you pay for your visits. Our sliding scale method is different from others in that we don’t ask about your income, assets, dependents, etc. and then tell you how much you will pay - because we know life is more complicated than that. Instead, you will pick from four fixed tiers that you feel best reflect your current financial status. If your financial circumstances change during the course of therapy, you can always change your selected tier.
We use this payment tier to minimize limitations in accessing therapy. We want you as the client to determine the price that you pay for counseling. To make this possible we offer a sliding scale from $85-25 for individual sessions, or $100-40 for couples’ sessions and there is also an additional hardship option. If your financial circumstances change during the course of treatment, requiring that you change the agreed upon fee, please let your practitioner know and you will be provided a separate form to adjust your payment choice. Please indicate the fee you agree to pay:
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Individual sessions $85 /Couples' or Family sessions $100 - I can comfortably meet my basic needs. My finances are stable. I have adequate savings. I am in the financial position to compensate my therapist so that those who are not in my financial position may still receive services.
Individual sessions $65 /Couples’ or Family sessions $80 - I am able to meet my basic needs. Paying for therapy is not a financial hardship for me at this time. My finances are usually stable but may fluctuate. I have some savings.
Individual sessions $45 /Couples’ or Family sessions $60 - My basic needs are met most of the time, but they are not always guaranteed. Paying for therapy may become burdensome to my financial well-being. My finances sometimes fluctuate. I do not have much savings.
Individual sessions $25 /Couples’ or Family sessions $40 - I am experiencing financial hardship and many of my basic needs are not consistently being met.
Check this box if none of these rates suit your life right now and you would like to discuss other payment options.
I am from Open Path Collective and would like the Open Path Collective rate.
Please tell us anything you would like us to know about your current financial challenges if applicable
Name
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First Name
Last Name
Email
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example@example.com
If you are seeking couples or family counseling, what are the names of those who are joining you?
If you are seeking couples or family counseling, what is the name of the party responsible for payment?
Email that invoices should be sent to
*
example@example.com
If you are completing this form for a child or other dependant, what is the name of the client who will be receiving counseling?
Signature
Submit
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