PER OUR YOUR INITIAL CONSULTATION:
I hereby agree to the terms cited in this document and agree to render payment electronically on or no later than 36 hours after the time of service. I agree to allow my Credit Card to be kept on file and processed if payment is not rendered after 36 hours. My financial terms are as follows as agreed to during the initial consultation:
First Fratt Fees: $25 per month (May and June)
First Fratt Fees: $0 Registration Fee
CONSENT: Courtesy Cancellation Fee/No Show Fee (client fails to honor appointment within 48 hours of the date of service) - $75
Thank You for Submitting!