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Stephen Plotz, LMFT
Client's Name
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First Name
Last Name
Email
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example@example.com
Session Date
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Day
Year
Date of the Session for this Payment. *Choose the first session's date if paying for multiple sessions
Other Sessions
Include other session dates if paying for multiple sessions at once (past or future appointments)
Services
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85 Minute Therapy Session
Individuals/Couples/Families Talk & Sandtray Therapy Sessions
$
165.00
Quantity
1
2
3
4
5
6
7
8
9
10
55 Minute Therapy Session
Individual Talk, Sandtray, Child-Centered Play Therapy; & Family Play Therapy Sessions
$
140.00
Quantity
1
2
3
4
5
6
7
8
9
10
Late Cancelation | No-Show
if canceled under 24 hours or did not attend a scheduled session
$
120.00
Quantity
1
2
3
4
5
6
7
8
9
10
30 Minute Consultation
For parents/caregivers with children attending child play therapy sessions, or engaging in Family Play Therapy
$
70.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
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Cash App Pay
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ACH Bank Transfer
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