Disclaimer:
The content provided on this website is for informational and administrative purposes only and is not intended to serve as medical or mental health advice, diagnosis, or treatment. Submitting a form, making a payment, or contacting Kaecyn Behavioral Health Services does not establish a provider–patient relationship. A therapeutic relationship is only created after an initial evaluation is completed and both parties agree to treatment. If you are experiencing a medical or psychiatric emergency, call 911 or go to your nearest emergency room immediately.
Payment Disclaimer:
Payments made through this website are for scheduled services or agreed-upon fees with Kaecyn Behavioral Health Services. Completing a payment does not guarantee appointment availability and does not establish a provider–patient relationship until an official intake and consent process is completed. All payments are processed securely through a third-party provider (such as Cash App or PayPal). Kaecyn Behavioral Health Services does not store or have access to full credit card details.
1. APPOINTMENT CANCELLATION POLICY
We require a 24-hour notice for all appointment cancellations or rescheduling.
Cancellation Timeframes & Fees:
We understand that unexpected delays can happen to ensure we can provide you with the full quality care you deserve, a grace period of 5 minutes is allowed for late arrivals. Beyond 5 minutes, your appointment may need to be rescheduled and will be subject to our late cancellation fee.
- 24+ hours notice: No fee charged
- Less than 24 hours’ notice: $75 late cancellation fee
- Same-day cancellations or No-Shows: Full session fee charged
- Initial Appointment No-Show: $200
- Follow-up No-Show: $100 (Standard) or $130 (Extended)
- Outstanding fees will be collected at the time of the appointment
- We reserve your appointment time exclusively
2. REFUND POLICY
General Refund Rules:
- Payments for completed services are non-refundable
- Payments for upcoming appointments are refundable only if canceled 24+ hours in advance
- Membership fees are non-refundable once the billing cycle begins
No Refunds Issued For:
- Missed appointments or same-day cancellations
- Administrative fees
- Forms, letters, or documentation once work has begun
- Credit card processing fees (3.5%)
- Any services already rendered
- Wellness Membership Plans
Refund Requests:
If you believe a refund is warranted due to an error, contact us directly for review.
3. DISPUTES & CHARGEBACKS
Resolution Process:
- Contact us first with any billing concerns
- Allow 5 business days for investigation and resolution
- We will provide documentation of services rendered
If a chargeback is filed without attempting resolution:
- We provide documentation verifying services
- Enforcement of cancellation and no-show policies
- Scheduling suspended until matter resolved
- Fraudulent disputes reported to payment processor
4. RESCHEDULING POLICY
- Rescheduling available without penalty with 24+ hours notice
- We cannot guarantee same day/time availability
- Multiple rescheduling requests may require appointment consolidation
5. PAYMENT TERMS
Accepted Methods:
- Credit/Debit Cards (Visa, MasterCard, American Express, Discover)
- Insurance Billing (individual services only)
- Cash Pay (membership plans)
Fees:
- 3.5% credit card processing fee on all card transactions
- All prices subject to applicable taxes
Membership Specifics:
- 6-month minimum commitment required
- You may choose your preferred payment frequency (weekly, bi-weekly, monthly, or in full). However, all payment plans require:
- Continuous payment throughout your 6-month commitment
- No pauses, freezes, or holds permitted
- No pro-rating for unused services
- No refunds after payment
- All payments are non-refundable once processed
- Your chosen payment schedule will continue automatically until your 6-month commitment is complete.
- Cash/Card pay only – no insurance billing for memberships
- Cancellation requires a 7-day written notice before the 6-month term plan expires
6. FORMS & DOCUMENTATION
Fees:
- $150 per form/letter
Processing:
- 7-10 business day processing time
- Established patients only (3+ completed visits)
- At the clinician’s discretion
7. EXCEPTIONS
We understand emergencies happen. Exceptions considered case-by-case for:
- Severe illness or hospitalization
- Documented emergencies
- Weather or natural disasters
Approval of exceptions at the practice’s discretion.
8. CONTACT FOR BILLING ISSUES
For payment questions or disputes:
📧 Email: ckelly@kaecynbhs.org
📞 Phone: [Your Business Number]
⏰ Response within 24-48 business hours
Payment Address:
[Your Business Address]
ACKNOWLEDGEMENT
By scheduling appointments or using our services, you acknowledge and agree to all policies outlined above.
This policy is subject to change with 30 days’ notice. Continued service use constitutes acceptance of updated policies.