Thank you for choosing Berkshire Speech + Language. By engaging our services you expressly agree to all of the following conditions and agree to be bound by them.
Berkshire Speech + Language renders services regardless of race, color, creed, social status, national origin, sexual orientation, handicap, or gender.
Responsibility for Payment
Berkshire Speech + Language does not participate in any insurance plan and clients are responsible for all payments.
Payment for the first appointment must be made prior to the appointment and no services will commence until payment has been made. If the first appointment is cancelled in accordance with our Cancellation Policy (see below), the unused payment may, at your discretion, be refunded or applied to another appointment.
Following the first appointment, all fees must be paid in full at the time the service is rendered by check, credit card, or cash unless other arrangements have been made in writing. If prior arrangements have been made for billing or invoicing for services after the date of service, you agree to pay such bills and invoices within 15 days of the date on the invoice, statement, or bill.
All outstanding balances greater than 30 days past due will accrue a monthly 15% interest penalty. All outstanding balances 120 days past due will be sent to a collections agency. Berkshire Speech + Language reserves the right to refer the account to an attorney or collection agency for settlement of the outstanding balance.
At your request Berkshire Speech + Language will furnish you with a detailed statement with diagnosis and procedure codes for submission to your insurance plan. However, you are responsible for all payments to BS+L as outlined above whether or not your insurance plan covers our services in whole or part. BS+L makes no representation whatsoever that any services will be covered by any insurance plan in whole or in part.
You understand and agree that for sessions cancelled with less than 24 hours notice (unless due to sickness, family emergency, or inclement weather), a cancellation fee of $50.00 will be charged. You also understand and agree that if you do not show for a scheduled session, you will be charged the full amount of a session, depending upon the type of scheduled service. Cancellation and No Show fees will be due prior to scheduling any further appointments. This applies to all clients without exception.
You understand that sessions cancelled with more than 24 hours notice will not be charged a cancellation fee. However, we encourage scheduling make-up sessions for these and all other sessions in order to ensure optimal therapeutic progress.
Repeated cancellations may result in the loss of your regularly scheduled time slot or termination of service.
An appointment cancelled with less than 24 hours notice due to inclement weather will not incur a cancellation fee.
You understand that once your weekly treatment appointment schedule has been determined, BS+L is often unable to accommodate changes on an ad-hoc or temporary basis. When a permanent change in time is needed, you agree to give as much advance notice as possible for BS+L to attempt to accommodate your request. When BS+L must initiate a permanent change of schedule, the therapist will give you at least a one week's notice and try to accommodate your scheduling needs, but BS+L makes no guarantee to that effect.
You understand and agree that in order to receive maximum benefit from treatment, it is important for treatment to occur routinely. You understand that notification of vacations or family obligations is requested at least two weeks prior to the expected absence to facilitate rescheduling appointments.
Acknowledgment of Risk
You acknowledge that, while minimal, there is some risk inherent in the use of some therapy equipment. You agree to indemnify and hold BS+L harmless from any and all losses and claims for any injuries or other damages occurring to your child or yourself or your belongings from the use of therapeutic equipment at our clinic location at 2325 Hancock Road, Williamstown, MA 01267, your home, or any other location where we render services.