Payment Information & Authorization
Phone & Video Sessions
Payments for your phone and video sessions will be billed to your card on file following each session. Your card on file will be charged using Stripe, a secure payment processor.
Phone Session Fees:
$30 for maintenance calls (30 minutes)
$60 for full sessions (60 minutes)
Live Video Session Fees:
$40 for maintenance calls (30 minutes)
$80 for full sessions (60 minutes)
Here’s how recurring payments work:
You will be charged the full amount listed above following each session. The charge will typically take place the same day or within a few days of your session. A receipt for each payment will be emailed to you and the charge will appear on your credit card statement as “Wellness.”
Session cancellations happen and are understandable. Sessions canceled at least 24 hours before the scheduled session will not be charged. However, for cancellations less than 24 hours before the scheduled session, the full amount of the session will be charged to the card on file.
By completing the form below, I am authorizing Penny L. Smith, LCSW Wellness Services to charge the payment method kept in my client file after each completed session at the rates listed above. I understand I will be charged the full amount of the session for cancellations made less than 24 hours in advance. I understand that if any fee amount changes, I will receive prior notice and will be asked to submit a new authorization prior to payment.