Payment Plan Agreement
SKU:
$15.00
$15.00
per item
Payment Plan Agreement Form
Supportive Solutions. Clear Terms. Responsible Care.
Our Payment Plan Agreement Form is designed to offer a respectful and structured approach for clients who owe a balance for clinical services. This form outlines flexible payment arrangements while emphasizing shared accountability, financial transparency, and the therapeutic alliance.
With built-in guidance on financial hardship, billing confidentiality, and agreement termination, this form helps ensure your practice remains compassionate, ethical, and financially sustainable.
Let care continue, with mutual understanding and a plan in place.