YvonneLucia.com
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Sliding Scale Fee Schedule for Individuals

It is my personal philosophy that a person’s financial circumstances should not  determine their ability to receive grief support.  The chart below offers a suggested sliding scale fee schedule based on yearly income.  I do not require proof of income, I simply ask that you make an honest assessment of your situation.  I trust and honor your decision.

Yearly Income                     Fee per session

$0 to $30,000                          $35

$30,000 to $40,000               $40

$40,000 to $50,000               $50

$50,000 to $60,000               $60

$60,000 to $70,000               $70

$70,000 to $80,000               $80

$80,000 to $90,000               $90

$90,000 to $100,000            $100

$100,00 and above                $110         

Whatever fee you choose is due at the time of service.  If you fail to keep an appointment without giving 24 hours prior notice (by calling 607-727-5332),  you will be held responsible for the agreed upon fee amount.     

The rate I choose is _____________________.

I understand that I am responsible to pay the above amount at time of service..  I further understand that without 24 hour notice of cancellation I will be charged the agreed upon fee for service, and that a service charge of $25 will be incurred for checks returned due to lack of finds.

Client signature___________________________________________________        Date_________________

Grief Support Provider signature___________________________________ Date__________________