Policies & Fees

Consent to Treatment Agreement

Policies, Client Privacy Rights, Service Information, Fees

Thank you for choosing Inner Owl Wisdom, LLC, as your provider of the professional services described in this agreement. We are committed to using our best efforts to ensure your treatment is successful. Please understand that your bill payment is considered a part of your treatment. The following is a statement of your consent to treatment and our financial policy, which you must read and sign before receiving any treatment. All clients must complete our information form before seeing the practitioner.

Confidentiality:

I have been informed that all client information and records provided during a session will be kept confidential except under circumstances as detailed in the applicable provisions of the Connecticut Statutes, Connecticut Administrative Code, or federal laws and regulations or with the following exceptions: a court order, or threats of physical harm to self or another individual. In these instances, the practitioner is bound by law and ethics to report the situation to the appropriate authorities. Information about your minor child will not be released without your written permission. All client accounts are the sole property of Inner Owl Wisdom, LLC, and are maintained in strict confidence to the extent consistent with applicable state and federal laws and professional standards.

I authorize my practitioner to anonymously discuss the material from my sessions or my confidential files with an appropriate mentor for consultation, education, or support. All such information will be handled professionally and confidentially. I further understand that such discreet discussion enables my practitioner to better serve me and increases his/her effectiveness in my sessions.

Release:

I hereby knowingly and voluntarily release and covenant not to sue Anne Reed or Inner Owl Wisdom, LLC, for any alleged or actual negligence in providing any services or treatments to me. This release does not apply to any alleged or actual willful misconduct by Anne Reed or Inner Owl Wisdom, LLC, in providing me with any services or treatments.

Minors:

All information about minors will be released to their parents or legal guardians upon their written request unless it adversely affects the therapeutic process. The adult accompanying a minor and the parents (or guardians of the minor) are responsible for full payment of the professional services received by Inner Owl Wisdom, LLC. In divorce situations, the parent who brings the child to the appointment is responsible for payment and charges regardless of any provision in a divorce decree. If payment responsibility issues exist, they must be resolved between the parents.

Fees and Payment:

Our practice is committed to providing the best treatment achievable for our clients, and we charge what are usual and customary fees for our area. Fees are charged for all sessions per the fee schedule. The Initial Intake session is 60-90 minutes in length. This allows time for the practitioner to understand what you wish to treat and a proper introduction to one another. 

PayPal or Venmo payment is accepted instead of cash or checks if distant services are provided. If a check is returned because of insufficient funds, it will result in a charge of $25.00 plus bank charges. Currently, we do not file insurance claims. Invoices will be provided if you wish to submit them to your Flex account or insurance company. 

Full payment for services rendered is due at the time of service. 

Methods of Payment: Cash, PayPal, Venmo, or checks.

Treatment:

Inner Owl Wisdom LLC will provide each client with specific, complete, and accurate information regarding their treatment. As a client, I understand that alternative approaches may be used, including Coaching, Mindfulness teaching, Gratitude practices, Meditation, spiritual guidance, and complementary energy-based approaches. The alternative therapies offered are all gentle approaches to assist the human body and its natural healing ability. All options provided will be discussed before treatment and consented to prior to each individual session.