When, in the opinion of the therapist, a client’s treatment would benefit by an increase or decrease in the yearly liability, a therapeutic adjustment is indicated.
 

The Therapeutic Fee Adjustment Request form is completed by the therapist and submitted to the Program Head for approval.
 

It is the responsibility of the therapist to advise the client that the adjustment is not effective unless it is approved by the Program Head. Should the request be denied, the original liability will stand.
 

The therapist must explain to the client that, in the event the client fails to pay a reduced fee, the original liability will be reinstated when collection is pursued. 
 

The reason for the request must clearly detail the anticipated positive or negative impact in which the approval or disapproval could result.