Document Request Fees
If you request any letters, forms or any other documentation to be completed, please be advised that there is a fee for paperwork. Please be advised that all requests will be taken into consideration and may not be fulfilled to protect your confidentiality. Also note that there must be a written request; which can be submitted via email, fax, or in person. A documentation request/release of information form must be completed. Upon receipt of documentation request, an invoice will be provided for requested services; which will detail the cost and the expected day of completion. Prior to information release the invoice must be paid in full. Please be advised that once your confidential information is released to you or the identified party, we are not responsible for the use of the information and whether or not it is protected. Please allow up to 14 days for any document request. If you need an expedited request for a response or documentation within 1 business day there will be an expedited fee of $300.00. If you need an expedited request for a response or documentation in 3 business days there will be an expedited fee of $150.00.
- Copies of documents $1.00/per page first 25 pages $.50/per page for each additional page
- FMLA $150/per hour billed in 30 minute increments
- Disability Forms $150/per hour billed in 30 minute increments
The above paperwork is time consuming due to the need for supporting clinical documentation. FMLA paperwork usually takes a minimum of 1-2 hours to complete. Disability paperwork takes even longer and may require additional assessments and additional. Thus, the time it takes to prepare and send faxes and other administrative business (e.g. preparing consent to release forms or request for records and phone calls).
The provider will not complete any FMLA, disability or other paperwork or letter of support unless you have completed 6-8 sessions. The provider will also not complete any FMLA or disability paperwork if it is not ethically supported by your initial intake session and following sessions.
Court and Legal Fees
If any provider at Magee Madry Counseling Services, LLC is to receive a subpoena, the attorney or office staff will need to contact the office and arrange a time for the subpoena to be served during office hours. Magee Madry Counseling Services, LLC requests a minimum of 72 hours’ notice of any court appearances so that schedule changes for patients can be addressed within a reasonable time frame. Please note: If a subpoena or notice to meet attorney(s) is received without a minimum 72-hour notice, there will be an additional $250 express charge, which must be paid in full prior to the provider’s appearance in the courtroom.
The following fees are in effect for court preparation and appearance:
- The minimum fee for provider to appear in court is $1,500
- Preparation Time (including submission of records): $225/hour (billable in 15-minute increments)
- Phone calls: $225/hour (billable in 15-minute increments)
- Depositions: $225/hour
- Time Required in Giving Testimony: $225/hour
- Mileage: $.65 cent per mile
- All attorney fees and costs that are incurred by provider as a result of the legal action
A retainer of $1,500 is due at least 72 hours before the scheduled court appearance. This fee is non-refundable. The remainder of the costs will be billed after the court appearance and will be due upon receipt.
If your court date is postponed and the provider must once again clear their schedule to attend court, you will again be charged the full $1,500. If your court date is canceled this fee is non-refundable. All fees listed above will be doubled if the provider is scheduled to be out of town.
No further appointments will be scheduled until all fees are paid in full. If this payment is not paid in full within one calendar month it will be brought to collections.
If fees have not been paid regarding your court-related services and do not respond to Magee Madry Counseling Services, LLC attempts to contact you and work out a payment plan, the provider does have legal responsibility to secure payment. Which involves hiring a collection agency or going through small claims court. A late fee of 20% of the unpaid balance will be charged each month that a balance remains unpaid.