We are not requiring proof of income at this time as trust is an essential feature of the therapeutic relationship. In addition, because this fee is significantly discounted, there shall be a $20.00 fee for appointments made but the patient either does not show or cancels the appointment less than 24 hours prior to that appointment. This “no show” fee applies to all patients at Coastal Counseling Center.
I certify that the family size and income verification shown above is correct and agree to the requirements set above.