Professional Fees, Billing and Payments

Welcome! This document serves as an agreement between us which contains important information about my professional services and fees. Please read through carefully and note any questions or concerns which can be discussed at the earliest convenience.

Professional Fees, Billing, and Payments

Personal Coaching: $10,000.00. 6-month agreement with 12 individual coaching sessions including...
-Twelve 90 minute one on one calls/live zoom sessions.
-Breakthrough mental exercise workbooks and texts including Habit Finder Practicum, Og Journal, The Greatest Salesman in the World, Today I Begin a New Life, The Observers Chair, The Og Mandino Leadership Institute’s, Equanimity, Conquering Mt.Entrepreneur.
-Positive Nutrition (copyright pending) 10-week course curriculum focusing on repairing and shifting one’s relationship with food, body, eating, and weight towards optimal health outcomes.
-Email and phone/text support.

Group Coaching: $1667.00 + $300 for materials Per Person (10 people per group). 6-month agreement with 12 group coaching sessions including...
-Twelve 90 minute private group calls/live zoom sessions.
-A private fb group for references and support.
-Breakthrough mental exercise workbooks and texts including Habit Finder Practicum, Og Journal, The Greatest Salesman in the World, Today I Begin a New Life, The Observers Chair, The Og Mandino Leadership Institute’s, Equanimity, Conquering Mt.Entrepreneur.
-Positive Nutrition (copyright pending) 10-week course curriculum focusing on repairing and shifting one’s relationship with food, body, eating, and weight towards optimal health outcomes. Dependent upon groups needs.

Personal Coaching/SHIFT: $5000.00 + $495 for materials. 6-month agreement with 6 individual coaching sessions.
-Six (monthly) 90 minute one on one calls/live zoom sessions.
-Lifetime access to online breakthrough mental exercises, materials, and video sessions of Habit Finder Practicum, and video recordings of The Greatest Salesman in the World.
-Positive Nutrition (copyright pending) 10-week course curriculum focusing on repairing and shifting one’s relationship with food, body, eating, and weight towards optimal health outcomes.
-Email support only.

Freedom with Food & Concierge Services: $947 Per Month. 4 Individual 60 min sessions scheduled per month. Concierge services as needed outside of session via phone, email, or best contact. For long-term behavior change, I recommend 4-6 months of commitment.

Medical Nutrition Therapy: 50 min sessions, scheduled as needed accepting select insurance carriers, focusing on freedom, balance, and wellness concepts while focusing on specific health-oriented goals. Patient is responsible for individual copay.

Insurance

I'm currently accepting payment through Cigna, United Health, Aetna, Kaiser, Blue Shield of California, Optum (Redlands) Insurance carriers. However, if you have other PPO insurance and would like to receive reimbursement from your insurance plan, a superbill and invoice that will have the necessary information for self-submission to your insurance company can be provided upon your request.

Cancellation Policy

Once an appointment is scheduled, you are responsible for payment. If the need for cancelation occurs, please provide me no less than 24-hour advance notice. If you are unable to provide notice, you will be charged your full fee. Emergencies and extreme circumstances beyond your control will be taken into consideration.

Below is a statement to be signed:

I acknowledge my credit card information will be kept on file to be used for assessment fees in which I do not provide payment (unless other arrangements have been made). Charges for missed appointments not canceled within the 24 hours advanced notice, returned check fees and the amount of the check paid, and overdue balances of more than 30 days will be billed to my account. My credit card will only be used under these circumstances or when I have not provided payment in another form (i.e. cash or check). By signing below and providing my credit card information, I authorize Patty Ann Ford, DrPH, MPH, CEDRD to charge my credit card.