• A limited number of sliding scale spaces are available, representing approximately 10–15% of weekly client capacity.

• Sliding scale consideration may be offered in response to:

  • Short- or long-term financial strain

  • Significant life changes (e.g., medical issues, job loss, caregiving responsibilities)

  • Temporary disruption due to systemic or structural stressors

• Sliding scale arrangements are time-limited and reviewed collaboratively to ensure they continue to meet both client needs and practice sustainability.

• Availability is not guaranteed and may change as the caseload fluctuates.

• A very limited number of pro bono sessions are available, representing approximately 5–7% of weekly client capacity.

• Pro bono care is offered on an as-needed basis, with priority given to:

  • Existing clients experiencing acute or unexpected financial hardship

  • Clients impacted by significant life circumstances that limit access to care

• Pro bono services are typically short-term and dependent on current availability.

• For clients using private pay or high-deductible insurance plans, alternate payment arrangements may be considered on a case-by-case basis, including:

  • Adjusted payment schedules

  • Temporary flexibility during periods of financial strain

• These arrangements are discussed collaboratively and revisited as circumstances change.

All fee adjustments are made with attention to:

• Client welfare and continuity of care

• Equity and fairness across the client community

• Professional boundaries and sustainability, as outlined in the ACA Code of Ethics

Offering a limited number of reduced-fee and pro bono spaces allows the practice to remain accessible while continuing to provide consistent, ethical, and high-quality care to the broader community.

If you have questions about fee options or would like to discuss availability, you are welcome to reach out.