Alvarado Consulting and Treatment Group Consent to Treat and Fee Agreement

I voluntarily consent to participate in coaching/counseling and/or consultation services with staff at The Alvarado Consulting and Treatment Group.

Coaching is not a registered practice in Colorado and is not regulated by any authority. All of our staff are licensed counselors in the state of Colorado and offer both counseling in Colorado and Coaching Internationally.

Rates:

Simply Healing virtual/phone session

  • $250 for an intake/initial session, 90 minutes
  • $200/subsequent hours with Jules Alvarado
  • $900 for a discounted package of 5 sessions with Jules, payable in advance
  • $185/hour with other staff supervised by Jules Alvarado

Simply Healing office-based psychotherapy~ Denver Outpatient Office

  • $185/hour with other staff supervised by Jules Alvarado

Home-Based Therapy Services;
 Our staff will travel to your home within a 30-mile radius

  • $295 for an intake/initial session in-home, 2 hours
  • $195/hour

Clinical or Organizational Consult in Trauma-Informed, Emotional Regulatory Healing: This is a teleconference service

  • $250/hour; unlimited participants, cost includes a recording of the call via mp3 audio link

Intensive Family/Couple Weekend Intervention In Home; Our staff travels internationally to offer this service: Friday late afternoon-Sunday late afternoon

  • $4,999/weekend plus air travel, accommodations, rental car expense for one staff

Organizational Consult/Training/Speaking Engagement

  • $4,999/day on-site or virtual plus the expense of air travel, accommodations, rental car expenses for one to two staff

Intensive, experiential training in Trauma Informed Care with a focus on Secondary Truama Relief for ERH practitioners: Max 20 participants

  • $20,000.00 for three intensive, experiential days of training and materials.

TOT: Training of Trainers in ERH: includes materials for integration and sustainable training and outcomes: Max 20 participants

  • $25,000 for five intensive, experiential, on-site days of training, materials, and practicum.

Payment is due at the time of services. Unless you choose the discounted coaching package which is payable in full, in advance, you will be invited to make payments prior to each session for coaching and therapy services. We use the Venmo and PayPal platforms for invoicing.  Consulting and training contracts will be negotiated individually and billed subsequent to services rendered.

The initial intake session fee is due prior to your session.

Organizations, county, or state departments making referrals and payments for services for foster and adoptive families, please call 720-294-4929 and we will arrange for invoicing and payment options.

Please Note:

ACG is a private pay practice and we do not bill or communicate with insurance companies.

Please notify us if you plan to submit for any reimbursement from your insurance company. We are happy to provide you with a list of dates of services and our fees.

At ACG we take necessary precautions to protect your personal and confidential information. These forms are kept on file in a secure location and your personal and financial information is never shared with anyone for any reason.

Cancellation and No-Show Policy:

I agree to give at least 24 hours notice in the event I need to cancel or change an appointment.

For appointments on Mondays, notice of cancellation will be made by the preceding Friday.

If I fail to give such notice the session will be billed in full.

In the event of an emergency, your appointment will be rescheduled at a convenient time and no fee is charged.

Further, I understand that if I fail to call and do not show up for an appointment I will be charged the full fee for that missed session.

ACG is a private pay firm. We do not bill for insurance reimbursement.

I understand that my insurance company will not be billed for services.

I understand that cafeteria plans and HSA Cards are a type of insurance and ACG cannot bill my services off of my HSA Visa or MasterCard.

If I wish to submit a bill to my insurance provider, I understand that I am responsible for such a submission and that ACG will provide the necessary documentation.

If a report, letter or consultation by an outside party is requested, including in the matter of the request for records or information that you have authorized, you understand that you will be billed the usual hourly rate, in 15-minute increments, for the time needed to prepare the document or to conduct an in-person consultation. Telephone consultations will be billed at the aforementioned rate in this instance as well.

By signing this agreement, you agree to this policy.

WE look forward to supporting you, your family or your organization.

WE appreciate you in supporting us in this manner.

I have read and understand the Consent for Treatment and Financial Agreement.

  • Client/Billing Information

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  • Please indicate which payment platform you prefer; please provide the name and contact for Venmo payment requests
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