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I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. You will be charged the agreed upon amount after each session. A receipt for each payment will be emailed to you and the charge will appear on your bank statement as an ACH Debit. You agree that no priornotification will be provided. Missed Appointments / Late Cancellations By signing this authorization you agree to the cancellation policy included in KW Counseling s Office...
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