{"id":303,"date":"2026-03-17T15:05:00","date_gmt":"2026-03-17T15:05:00","guid":{"rendered":"https:\/\/www.change-in-entropy.com\/?page_id=303"},"modified":"2026-03-25T01:41:18","modified_gmt":"2026-03-25T01:41:18","slug":"financial-policy","status":"publish","type":"page","link":"https:\/\/www.change-in-entropy.com\/index.php\/financial-policy\/","title":{"rendered":"Financial Policy"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"303\" class=\"elementor elementor-303\">\n\t\t\t\t<div class=\"elementor-element elementor-element-672885a e-flex e-con-boxed e-con e-parent\" data-id=\"672885a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b7cf402 elementor-widget elementor-widget-text-editor\" data-id=\"b7cf402\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"524\" data-end=\"682\"><strong data-start=\"524\" data-end=\"558\">Change in Entropy Hypnotherapy<\/strong><br data-start=\"558\" data-end=\"561\" \/><strong data-start=\"561\" data-end=\"573\">Website:<\/strong> <a class=\"decorated-link\" href=\"https:\/\/www.change-in-entropy.com\/\" target=\"_new\" rel=\"noopener\" data-start=\"574\" data-end=\"608\">https:\/\/www.change-in-entropy.com\/<\/a><br data-start=\"608\" data-end=\"611\" \/><strong data-start=\"611\" data-end=\"630\">Effective Date:<\/strong> March 17, 2026<br data-start=\"645\" data-end=\"648\" \/><strong data-start=\"648\" data-end=\"665\">Last Updated:<\/strong> March 17, 2026<\/p><p data-start=\"684\" data-end=\"856\"><strong data-start=\"684\" data-end=\"707\">Contact Information<\/strong><br data-start=\"707\" data-end=\"710\" \/>Change in Entropy Hypnotherapy<br data-start=\"740\" data-end=\"743\" \/>2862 Change Street, Unit A<br data-start=\"769\" data-end=\"772\" \/>Los Alamos, NM 87544<br data-start=\"792\" data-end=\"795\" \/>Email: <a class=\"decorated-link cursor-pointer\" rel=\"noopener\" data-start=\"802\" data-end=\"832\">jennifer@change-in-entropy.com<\/a><br data-start=\"832\" data-end=\"835\" \/>Phone: (907) 278-1180<\/p><h2 data-section-id=\"639pgk\" data-start=\"858\" data-end=\"871\">1. Purpose<\/h2><p data-start=\"873\" data-end=\"1070\">This Financial Policy explains the fees, payment expectations, cancellation terms, billing practices, and related financial responsibilities for services provided by Change in Entropy Hypnotherapy.<\/p><p data-start=\"1072\" data-end=\"1192\">By scheduling or receiving services, you acknowledge that you have read, understood, and agree to this Financial Policy.<\/p><h2 data-section-id=\"w2yb4f\" data-start=\"1194\" data-end=\"1222\">2. Payment Responsibility<\/h2><p data-start=\"1224\" data-end=\"1332\">You are responsible for payment of all fees for services provided to you unless otherwise agreed in writing.<\/p><p data-start=\"1334\" data-end=\"1438\">Payment is due <strong data-start=\"1349\" data-end=\"1375\">at the time of service<\/strong>, unless a different arrangement is made in advance in writing.<\/p><p data-start=\"1440\" data-end=\"1616\">If a parent, guardian, personal representative, or other responsible party signs on your behalf, that person may also be financially responsible to the extent permitted by law.<\/p><h2 data-section-id=\"p113zs\" data-start=\"1618\" data-end=\"1641\">3. Fees for Services<\/h2><p data-start=\"1643\" data-end=\"1668\">Current fees may include:<\/p><ul data-start=\"1670\" data-end=\"1955\"><li data-section-id=\"osolw4\" data-start=\"1670\" data-end=\"1714\"><p data-start=\"1672\" data-end=\"1714\">Initial consultation: Complimentary\u00a0<\/p><\/li><li data-section-id=\"zgym0e\" data-start=\"1715\" data-end=\"1755\"><p data-start=\"1717\" data-end=\"1755\">Standard session: <strong data-start=\"1735\" data-end=\"1755\">$[insert amount]<\/strong><\/p><\/li><li data-section-id=\"1qr85v0\" data-start=\"1756\" data-end=\"1797\"><p data-start=\"1758\" data-end=\"1797\">Follow-up session: <strong data-start=\"1777\" data-end=\"1797\">$[insert amount]<\/strong><\/p><\/li><li data-section-id=\"16wy8ze\" data-start=\"1798\" data-end=\"1854\"><p data-start=\"1800\" data-end=\"1854\">Package or program rate: <strong data-start=\"1825\" data-end=\"1854\">$[insert amount or terms]<\/strong><\/p><\/li><li data-section-id=\"k3egzt\" data-start=\"1855\" data-end=\"1955\"><p data-start=\"1857\" data-end=\"1955\">Forms, letters, summaries, or special administrative requests: <strong data-start=\"1920\" data-end=\"1955\">$[insert amount, if applicable]<\/strong><\/p><\/li><\/ul><p data-start=\"1957\" data-end=\"2133\">Fees are subject to change. Updated fees will apply prospectively and will be communicated through the website, scheduling platform, intake materials, or direct written notice.<\/p><h2 data-section-id=\"1w6ilxk\" data-start=\"2135\" data-end=\"2165\">4. Accepted Payment Methods<\/h2><p data-start=\"2167\" data-end=\"2208\">We accept the following forms of payment:<\/p><ul data-start=\"2210\" data-end=\"2312\"><li data-section-id=\"1dnpt3l\" data-start=\"2210\" data-end=\"2223\"><p data-start=\"2212\" data-end=\"2223\">Credit card<\/p><\/li><li data-section-id=\"1nlqvoi\" data-start=\"2224\" data-end=\"2236\"><p data-start=\"2226\" data-end=\"2236\">Debit card<\/p><\/li><li data-section-id=\"1pgguyb\" data-start=\"2237\" data-end=\"2266\"><p data-start=\"2239\" data-end=\"2266\">HSA\/FSA card, if applicable<\/p><\/li><li data-section-id=\"1j418i9\" data-start=\"2267\" data-end=\"2273\"><p data-start=\"2269\" data-end=\"2273\">Cash<\/p><\/li><li data-section-id=\"1dfcg22\" data-start=\"2274\" data-end=\"2312\"><p data-start=\"2276\" data-end=\"2312\">Other: <strong data-start=\"2283\" data-end=\"2312\">[insert accepted methods]<\/strong><\/p><\/li><\/ul><p data-start=\"2314\" data-end=\"2513\">Payment method details may be collected and stored through a third-party payment processor, scheduling platform, or practice management system, subject to applicable privacy and security protections.<\/p><h2 data-section-id=\"3tqayx\" data-start=\"2515\" data-end=\"2542\">5. Card on File, If Used<\/h2><p data-start=\"2544\" data-end=\"2655\">If the practice maintains a card on file, you authorize Change in Entropy Hypnotherapy to charge that card for:<\/p><ul data-start=\"2657\" data-end=\"2808\"><li data-section-id=\"15itnoj\" data-start=\"2657\" data-end=\"2671\"><p data-start=\"2659\" data-end=\"2671\">session fees<\/p><\/li><li data-section-id=\"c017py\" data-start=\"2672\" data-end=\"2696\"><p data-start=\"2674\" data-end=\"2696\">late cancellation fees<\/p><\/li><li data-section-id=\"1pbk2xe\" data-start=\"2697\" data-end=\"2711\"><p data-start=\"2699\" data-end=\"2711\">no-show fees<\/p><\/li><li data-section-id=\"1gahoq9\" data-start=\"2712\" data-end=\"2808\"><p data-start=\"2714\" data-end=\"2808\">unpaid balances you have authorized us to collect under this policy or other written agreement<\/p><\/li><\/ul><p data-start=\"2810\" data-end=\"2868\">You will be informed of charges as reasonably appropriate.<\/p><h2 data-section-id=\"1d4efq9\" data-start=\"2870\" data-end=\"2905\">6. Insurance and Self-Pay Status<\/h2><p data-start=\"2907\" data-end=\"2957\"><strong data-start=\"2907\" data-end=\"2957\">Choose the version that matches your practice:<\/strong><\/p><h3 data-section-id=\"16uy34s\" data-start=\"2959\" data-end=\"2990\">Option A: Self-Pay Practice<\/h3><p data-start=\"2991\" data-end=\"3172\">Change in Entropy Hypnotherapy is a self-pay practice and does not bill insurance directly. Clients are responsible for the full fee for services unless otherwise stated in writing.<\/p><h3 data-section-id=\"6pa822\" data-start=\"3174\" data-end=\"3219\">Option B: Limited Insurance Participation<\/h3><p data-start=\"3220\" data-end=\"3477\">Change in Entropy Hypnotherapy may accept or assist with certain insurance arrangements as stated separately in writing. You remain responsible for any amount not paid by insurance, including deductibles, coinsurance, noncovered services, and denied claims.<\/p><p data-start=\"3479\" data-end=\"3686\">If you are uninsured or choose not to use insurance for a service, federal law may entitle you to a <strong data-start=\"3579\" data-end=\"3602\">Good Faith Estimate<\/strong> of expected charges in qualifying situations.<\/p><h2 data-section-id=\"1adblmj\" data-start=\"3688\" data-end=\"3713\">7. Good Faith Estimate<\/h2><p data-start=\"3715\" data-end=\"4201\">If you are uninsured or self-pay, you may have the right to receive a <strong data-start=\"3785\" data-end=\"3808\">Good Faith Estimate<\/strong> of expected charges before scheduled services in situations covered by federal law. If you schedule far enough in advance or ask for an estimate, we will provide one when required. If your final bill is at least <strong data-start=\"4021\" data-end=\"4034\">$400 more<\/strong> than the estimate from this provider, you may have the right to use the federal <strong data-start=\"4115\" data-end=\"4154\">Patient-Provider Dispute Resolution<\/strong> process.<\/p><h2 data-section-id=\"101t04k\" data-start=\"4203\" data-end=\"4261\">8. Out-of-Pocket Payment and HIPAA Restriction Requests<\/h2><p data-start=\"4263\" data-end=\"4574\">If HIPAA applies to your care and you pay for a service or item <strong data-start=\"4327\" data-end=\"4352\">in full out of pocket<\/strong>, you may request that we not disclose information about that item or service to your health plan for payment or health care operations, unless disclosure is otherwise required by law.<\/p><p data-start=\"4576\" data-end=\"4619\">Any such request should be made in writing.<\/p><h2 data-section-id=\"1lk59id\" data-start=\"4621\" data-end=\"4646\">9. Cancellation Policy<\/h2><p data-start=\"4648\" data-end=\"4765\">We ask that you provide at least <strong data-start=\"4681\" data-end=\"4706\">[insert number] hours<\/strong> notice if you need to cancel or reschedule an appointment.<\/p><p data-start=\"4767\" data-end=\"4826\">If sufficient notice is not given, the following may apply:<\/p><ul data-start=\"4828\" data-end=\"5007\"><li data-section-id=\"r8ri9s\" data-start=\"4828\" data-end=\"4922\"><p data-start=\"4830\" data-end=\"4922\">Late cancellation fee: <strong data-start=\"4853\" data-end=\"4873\">$[insert amount]<\/strong> or <strong data-start=\"4877\" data-end=\"4901\">[insert percentage]%<\/strong> of the scheduled fee<\/p><\/li><li data-section-id=\"61xkqs\" data-start=\"4923\" data-end=\"5007\"><p data-start=\"4925\" data-end=\"5007\">No-show fee: <strong data-start=\"4938\" data-end=\"4958\">$[insert amount]<\/strong> or <strong data-start=\"4962\" data-end=\"4986\">[insert percentage]%<\/strong> of the scheduled fee<\/p><\/li><\/ul><p data-start=\"5009\" data-end=\"5130\">A cancellation is considered late if it occurs less than <strong data-start=\"5066\" data-end=\"5091\">[insert number] hours<\/strong> before the scheduled appointment time.<\/p><h2 data-section-id=\"12sgtad\" data-start=\"5132\" data-end=\"5158\">10. Late Arrival Policy<\/h2><p data-start=\"5160\" data-end=\"5247\">If you arrive late, your session may be shortened to avoid delaying other appointments.<\/p><p data-start=\"5249\" data-end=\"5349\">Unless otherwise decided by the practice, you remain responsible for the full scheduled session fee.<\/p><p data-start=\"5351\" data-end=\"5477\">If you are more than <strong data-start=\"5372\" data-end=\"5399\">[insert number] minutes<\/strong> late, the appointment may be treated as a missed appointment and rescheduled.<\/p><h2 data-section-id=\"j7dclh\" data-start=\"5479\" data-end=\"5536\">11. Missed Appointments and Repeated Scheduling Issues<\/h2><p data-start=\"5538\" data-end=\"5626\">Repeated no-shows, repeated late cancellations, or repeated late arrivals may result in:<\/p><ul data-start=\"5628\" data-end=\"5770\"><li data-section-id=\"17yzvvo\" data-start=\"5628\" data-end=\"5658\"><p data-start=\"5630\" data-end=\"5658\">advance payment requirements<\/p><\/li><li data-section-id=\"12zbwh1\" data-start=\"5659\" data-end=\"5687\"><p data-start=\"5661\" data-end=\"5687\">a card-on-file requirement<\/p><\/li><li data-section-id=\"117swfy\" data-start=\"5688\" data-end=\"5717\"><p data-start=\"5690\" data-end=\"5717\">reduced scheduling priority<\/p><\/li><li data-section-id=\"75fhue\" data-start=\"5718\" data-end=\"5770\"><p data-start=\"5720\" data-end=\"5770\">limitation or discontinuation of future scheduling<\/p><\/li><\/ul><h2 data-section-id=\"17as0cm\" data-start=\"5772\" data-end=\"5792\">12. Refund Policy<\/h2><p data-start=\"5794\" data-end=\"5829\">Unless otherwise stated in writing:<\/p><ul data-start=\"5831\" data-end=\"6059\"><li data-section-id=\"1nzml17\" data-start=\"5831\" data-end=\"5878\"><p data-start=\"5833\" data-end=\"5878\">fees for completed sessions are nonrefundable<\/p><\/li><li data-section-id=\"18isavz\" data-start=\"5879\" data-end=\"5949\"><p data-start=\"5881\" data-end=\"5949\">missed appointment fees and late cancellation fees are nonrefundable<\/p><\/li><li data-section-id=\"1bvtdon\" data-start=\"5950\" data-end=\"6059\"><p data-start=\"5952\" data-end=\"6059\">deposits, prepaid packages, or reserved-session fees are governed by the written terms provided at purchase<\/p><\/li><\/ul><p data-start=\"6061\" data-end=\"6140\">Any exception is at the sole discretion of the practice unless required by law.<\/p><h2 data-section-id=\"4buq02\" data-start=\"6142\" data-end=\"6188\">13. Prepaid Packages, Programs, or Deposits<\/h2><p data-start=\"6190\" data-end=\"6310\">If you purchase a package, series, or prepaid program, the terms of that purchase will apply in addition to this policy.<\/p><p data-start=\"6312\" data-end=\"6339\">Those terms should specify:<\/p><ul data-start=\"6341\" data-end=\"6481\"><li data-section-id=\"1dt1uv2\" data-start=\"6341\" data-end=\"6360\"><p data-start=\"6343\" data-end=\"6360\">services included<\/p><\/li><li data-section-id=\"xu22yq\" data-start=\"6361\" data-end=\"6386\"><p data-start=\"6363\" data-end=\"6386\">expiration date, if any<\/p><\/li><li data-section-id=\"kev79g\" data-start=\"6387\" data-end=\"6402\"><p data-start=\"6389\" data-end=\"6402\">refundability<\/p><\/li><li data-section-id=\"1z04f9e\" data-start=\"6403\" data-end=\"6423\"><p data-start=\"6405\" data-end=\"6423\">rescheduling rules<\/p><\/li><li data-section-id=\"1f6rwgr\" data-start=\"6424\" data-end=\"6481\"><p data-start=\"6426\" data-end=\"6481\">whether unused sessions may be transferred or forfeited<\/p><\/li><\/ul><h2 data-section-id=\"188f6j5\" data-start=\"6483\" data-end=\"6545\">14. Returned Payments, Chargebacks, and Failed Transactions<\/h2><p data-start=\"6547\" data-end=\"6663\">If a payment is declined, returned, disputed, reversed, or charged back, you remain responsible for the balance due.<\/p><p data-start=\"6665\" data-end=\"6738\">The practice may pause future appointments until the balance is resolved.<\/p><p data-start=\"6740\" data-end=\"6854\">Any returned-payment fee or reasonable administrative fee permitted by law may be charged if disclosed in advance.<\/p><h2 data-section-id=\"cerl20\" data-start=\"6856\" data-end=\"6883\">15. Outstanding Balances<\/h2><p data-start=\"6885\" data-end=\"6927\">Balances that remain unpaid may result in:<\/p><ul data-start=\"6929\" data-end=\"7073\"><li data-section-id=\"1xa9fox\" data-start=\"6929\" data-end=\"6962\"><p data-start=\"6931\" data-end=\"6962\">suspension of future scheduling<\/p><\/li><li data-section-id=\"1qjm08j\" data-start=\"6963\" data-end=\"7010\"><p data-start=\"6965\" data-end=\"7010\">requirement of prepayment for future services<\/p><\/li><li data-section-id=\"1q7qtu5\" data-start=\"7011\" data-end=\"7073\"><p data-start=\"7013\" data-end=\"7073\">additional collection efforts consistent with applicable law<\/p><\/li><\/ul><p data-start=\"7075\" data-end=\"7205\">Before any outside collection action is taken, the practice may attempt to contact you using the contact information you provided.<\/p><h2 data-section-id=\"2nwrlw\" data-start=\"7207\" data-end=\"7268\">16. Fees for Records, Letters, and Administrative Requests<\/h2><p data-start=\"7270\" data-end=\"7504\">Routine treatment records are handled according to applicable law and privacy rules. Special requests, such as custom letters, forms, summaries, court-related documents, or non-routine administrative work, may be billed separately at:<\/p><ul data-start=\"7506\" data-end=\"7587\"><li data-section-id=\"11rticj\" data-start=\"7506\" data-end=\"7542\"><p data-start=\"7508\" data-end=\"7542\">Flat fee: <strong data-start=\"7518\" data-end=\"7538\">$[insert amount]<\/strong>, or<\/p><\/li><li data-section-id=\"57ohdn\" data-start=\"7543\" data-end=\"7587\"><p data-start=\"7545\" data-end=\"7587\">Hourly rate: <strong data-start=\"7558\" data-end=\"7587\">$[insert amount] per hour<\/strong><\/p><\/li><\/ul><p data-start=\"7589\" data-end=\"7636\">You will be informed in advance where feasible.<\/p><h2 data-section-id=\"1nrzz1q\" data-start=\"7638\" data-end=\"7682\">17. Minors and Third-Party Responsibility<\/h2><p data-start=\"7684\" data-end=\"7911\">If services are provided to a minor or to a person represented by another legally authorized person, the signing parent, guardian, or representative may be financially responsible for payment unless otherwise agreed in writing.<\/p><h2 data-section-id=\"k3wgtf\" data-start=\"7913\" data-end=\"7952\">18. Changes to This Financial Policy<\/h2><p data-start=\"7954\" data-end=\"8155\">We may revise this Financial Policy from time to time. Any updated version will be posted or otherwise made available and will apply to services provided after the effective date of the revised policy.<\/p><h2 data-section-id=\"87d8bn\" data-start=\"8157\" data-end=\"8171\">19. Contact<\/h2><p data-start=\"8173\" data-end=\"8233\">Questions about this Financial Policy should be directed to:<\/p><p data-start=\"8235\" data-end=\"8385\"><strong data-start=\"8235\" data-end=\"8269\">Change in Entropy Hypnotherapy<\/strong><br data-start=\"8269\" data-end=\"8272\" \/>2862 Change Street, Unit A<br data-start=\"8298\" data-end=\"8301\" \/>Los Alamos, NM 87544<br data-start=\"8321\" data-end=\"8324\" \/>Email: <a class=\"decorated-link cursor-pointer\" rel=\"noopener\" data-start=\"8331\" data-end=\"8361\">jennifer@change-in-entropy.com<\/a><br data-start=\"8361\" data-end=\"8364\" \/>Phone: (907) 278-1180<\/p><hr data-start=\"8387\" data-end=\"8390\" \/><h1 data-section-id=\"138k914\" data-start=\"8392\" data-end=\"8415\">Client Acknowledgment<\/h1><p data-start=\"8417\" data-end=\"8580\">I acknowledge that I have read and understand the Financial Policy of Change in Entropy Hypnotherapy. I agree to be financially responsible according to its terms.<\/p><p data-start=\"8582\" data-end=\"8640\"><strong data-start=\"8582\" data-end=\"8598\">Client Name:<\/strong> _________________________________________<\/p><p data-start=\"8642\" data-end=\"8702\"><strong data-start=\"8642\" data-end=\"8663\">Client Signature:<\/strong> ______________________________________<\/p><p data-start=\"8704\" data-end=\"8762\"><strong data-start=\"8704\" data-end=\"8713\">Date:<\/strong> ________________________________________________<\/p><h2 data-section-id=\"180xd28\" data-start=\"8764\" data-end=\"8805\">Personal Representative, If Applicable<\/h2><p data-start=\"8807\" data-end=\"8865\"><strong data-start=\"8807\" data-end=\"8816\">Name:<\/strong> ________________________________________________<\/p><p data-start=\"8867\" data-end=\"8929\"><strong data-start=\"8867\" data-end=\"8894\">Relationship to Client:<\/strong> __________________________________<\/p><p data-start=\"8931\" data-end=\"8990\"><strong data-start=\"8931\" data-end=\"8945\">Signature:<\/strong> ____________________________________________<\/p><p data-start=\"8992\" data-end=\"9050\"><strong data-start=\"8992\" data-end=\"9001\">Date:<\/strong> ________________________________________________<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Change in Entropy HypnotherapyWebsite: https:\/\/www.change-in-entropy.com\/Effective Date: March 17, 2026Last Updated: March 17, 2026 Contact InformationChange in Entropy Hypnotherapy2862 Change Street, Unit ALos Alamos, NM 87544Email: jennifer@change-in-entropy.comPhone: (907) 278-1180 1. Purpose This Financial Policy explains the fees, payment expectations, cancellation terms, billing practices, and related financial responsibilities for services provided by Change in Entropy Hypnotherapy. By [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-303","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.change-in-entropy.com\/index.php\/wp-json\/wp\/v2\/pages\/303","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.change-in-entropy.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.change-in-entropy.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.change-in-entropy.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.change-in-entropy.com\/index.php\/wp-json\/wp\/v2\/comments?post=303"}],"version-history":[{"count":7,"href":"https:\/\/www.change-in-entropy.com\/index.php\/wp-json\/wp\/v2\/pages\/303\/revisions"}],"predecessor-version":[{"id":458,"href":"https:\/\/www.change-in-entropy.com\/index.php\/wp-json\/wp\/v2\/pages\/303\/revisions\/458"}],"wp:attachment":[{"href":"https:\/\/www.change-in-entropy.com\/index.php\/wp-json\/wp\/v2\/media?parent=303"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}