Service Agreement
Preamble
Term of agreement and the voluntary principle
This Agreement shall commence from the Effective Date and remains in effect until either party terminates this Agreement.
Payment for services
Billable services
The Provider bills in 15-min units for most services, as listed in the tables below, according to the American Medical Association’s Current Procedural Terminology (CPT).
Services that are not covered by the insurance but are provided by the Provider without additional charge include:
- Travel times to and from home and community settings
- Administrative services such as scheduling and billing
- Development of program materials
Billable services
Scheduling, cancellations and tardiness
Scheduling
To ensure a balanced delivery of services throughout the week, Client schedules remain relatively fixed during the authorized treatment period. The Provider will strive to assign session times that optimize the learning process by taking into consideration naptime, school hours, etc. If a schedule change is required, the Client should communicate requests to their therapists or the Clinical Director at least 2 weeks prior to the desired change. Changes will be granted on a space-available basis.
Cancellations
The client is requested to notify any cancellation at least 24 hours in advance, except in case of emergency and/or illness. If the client fails to cancel with 24 hours' notice, they will be liable to a cancellation fee equal to 25% of the cost that would have been charged for the cancelled session. In addition, for services provided at home, the client may be charged for travel expenses, which will be calculated based on German tax laws.
Should you need to cancel your child's session, please email the following email address:
Amberg location: amberg-cancellations@ausblick-therapie.de
Kindsbach location: Kindsbach-cancellations@ausblick-therapie.de
Hochheim location: hochheim-cancellations@ausblick-therapie.de
Stuttgart location: stuttgart-cancellations@ausblick-therapie.de
Ansbach location: ansbach-cancellations@ausblick-therapie.de
When you send an email here, all therapists will automatically be notified, eliminating the need to text the therapist directly.
Should you text your therapist to cancel, they will redirect you to send an email to the above address.
Please note, this is for ABA and OT sessions ONLY! Speech Therapy services are provided by our partner companies, and therefore speech therapists need to continue to be notified separately.
In your email, please include:
Your child's name
The reason for cancellation (illness, vacation, emergency, etc.)
When you expect your child to return to services
You will receive a response confirming receipt of the cancellation notice from either the case manager or an administrator.
If the Provider cancels a session, the Client will be notified as soon as possible. If feasible, the missed session may be made up at the first convenient opportunity for both Parties.
Late Arrival and Pickup
The Client should arrive for sessions promptly. When starting late, sessions cannot be extended to make up for missed time. If a delay in the start time of sessions is the fault of the Provider, the Client will not be billed for the delay. If the Client arrives more than 20 minutes late without prior notice, the Provider will cancel the session and bill the Client a 24-hour cancellation fee.
The Client should arrive 10 minutes before session ends to allow the Provider to discuss the outcomes of the session and therapy notes! Your delay in picking up your child from the session will affect the session time of another child. If a Client is late to pick up their child at the end of the therapy session, Client shall privately pay for additional time at the therapy rate on a quarter hour basis. This time cannot be billed to the Client’s insurer.
Repeated failures to attend scheduled sessions or consistent late arrivals to scheduled sessions/pick up times may result in termination of services.
Inclement weather policy
In the event of inclement weather, the Provider will follow the guidelines set forth by local U.S. Department of Defense schools. Home sessions cancelled by the Provider due to inclement weather will be rescheduled. Center-based sessions cancelled by the Client due to inclement weather will not be subject to cancellation fees.
Child sickness policy
Telehealth (telemedicine) services
Telehealth services may be offered by the Provider on a temporary basis (e.g., due to illness- or weather-related closures) or an ongoing basis (e.g., due to transportation logistics). Both the risks of telehealth (e.g., data breaches; poorer results) must be balanced against the attendant risk of not using telehealth (e.g., service gaps).
The type of services to be provided via Telehealth are parent training and/or direct services (if possible and allowed by the Client’s funding source). These services are not the same as a direct patient/healthcare provider visit, because the Client will not be in the same room as the healthcare provider performing the service.
There are potential risks to the use of teleconferencing technology, including but not limited to interruptions, unauthorized access by third parties, and technical difficulties. Moreover, individuals other than the Client’s therapist may be present during Telehealth service to operate audiovisual equipment, if necessary.
The Client has the right to request the following:
- Information on the videoconferencing technology
- Omission of specific details of of the Client record that are personally sensitive
- Non-clinical personnel to leave the Telehealth room at any time if not mandated for safety
- Termination of the service at any time
The Client shall note that:
- Telehealth sessions may not be audio or video recorded by any party unless agreed in advance.
- It is the responsibility of the Telehealth provider to conclude the service upon termination of the video conference connection.
- Telehealth services will be discontinued if the Client does not show up without advanced notice for 2 consecutive Telehealth appointments.
Out-of-office services
Gifts
The Provider kindly asks that the Client not give presents to employees to avoid possible influence on their clinical decisions and judgment. Employees may only accept gifts if unsolicited, valued at no more than 5 euros, and they do not give the appearance that the Client is entitled to preferential treatment, better scheduling or prices, more frequent services, or improvement of other terms.
Grievances
Termination
Either Party may terminate this Agreement for any reason, including breach by either Party or without reason, by providing verbal or written notice to the other Party.
Signatures
The Client hereby voluntarily applies for and consent to services from the Provider, as described and authorized above. This consent applies to both child and legal guardian. Because the Client has the right to refuse services at any time, the Client understands and agrees that continued participation implies voluntary informed consent.