Kimi Schumacher. Licensed Professional Clinical Counselor. Licensed Marriage & Family Therapist. Registered Play Therapist.  Marriage & Couples, Teen & Child, Family, Individual


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  I agree to the following:

I agree that you may use the payment method I provide to charge any amounts I owe, now or in the future, without approval or notification being required. I reaffirm that, as originally agreed, payment is due at each session, and I may owe a balance if I miss an appointment or cancel with less than 24 hours notice.

In the case of a missed session / cancellation as described above, payment will be due and may be charged the day the session was scheduled for. I understand that if I need to make alternate payment arrangements, I am encouraged to contact Kimi Schumacher as soon as possible.

I understand that if I am making payment via debit card or bank account, and there are insufficient funds in the associated account, a fee of $20 may apply if the charge is not honored, and I may incur overdraft charges and/or fees from my financial institution. Fees may also apply if the credit limit of a credit card I supply is exceeded.
 

To schedule an appointment or to request more information, please call me at:

1-949-436-4MFT
(949-436-4638)

or e-mail me

My office is located in Mission Viejo. For address, map, and directions, please visit the contact page.