BY SUBMITTING PAYMENT FOR SERVICES ONLINE YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND ACCEPT THE REQUIRED PAPERWORK, DISCLAIMER AND CONFIDENTIALITY.

OVER, YOUR PAYMENT WILL BE TREATED AS AN ELECTRONIC SIGNTURE FOR APPROVAL AND ACCEPTANCE OF THE REQUIRED PAPERWORK.

MOREOVER, YOUR PAYMENT WILL BE TREATED AS AN ELECTRONIC SIGNATURE FOR APPROVAL AND ACCEPTANCE OF THE REQUIRED PAPERWORK.

By agreeing to the terms and conditions of this paperwork and disclaimer you are acknowledging that Family-Intervention.net a division of Center of Solutions, LLC is not intended to be psychotherapy.  Meeting with a representative or having telephone conversations with a staff member of Family-Intervention.net (Center of Solutions, LLC) is a family consultation service only. Once you have submitted this form a representative will thoroughly review your information and will telephone or email you a choice of appointment times usually within 48 hours.  Payment is required before any services are rendered. 

Telephone Consultation Fees
½ Hour Session:  $55.00
1 Hour Session:   $95.00

In Person Consultation Fees
We are available for face to face consultations or interventions in your area or ours.  Together we can choose a convenient location for your family consultation.
Fees are based on travel expenses and hourly fees.  Email for more information or quote.

I have read and agree to the terms of the disclaimer:

Yes, I agree with the terms and conditions of the disclaimer and privacy agreement.

No, I do not agree with the terms and conditions of the disclaimer and privacy agreement.