Autism Scholarship/JPSN Policy Form

Fee Schedule/Consent Form JPSN Scholarship/Autism Scholarship

Effective August 2015 – applicable to Stefanie J. Peck, M.A. CCC-SLP and The Center for LifeSkills

OTHER FEES  *these fees may not be billable to ODE
School Meetings - $105.00/hour
IEP design - $200.00                                                             
Training/Inservice - $142.00/hour

PAYMENT

Services will be billed monthly. The ODE check will be received by our office and families thereafter. Checks should be endorsed and returned immediately after they are received. Families will be expected to sign the Check Deposit Consent Form if the clients attend therapy outside of our facility. For families who attend therapy at our facility, we expect the checks to be signed in our office. We reserve the right to suspend therapy services if the check is not signed within 14 days. Assessments, meeting attendance, and other administrative tasks are not included under the scholarship. The scholarship can only be used for direct speech services to the student. I will sign all scholarship checks received by my providers for my student in a timely manner. I understand that if I fail to endorse the scholarship checks to the provider within 30 days, I will be responsible for paying my student’s fees.