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Fee Schedule & Financial Policy Template

Complete fee schedule and financial policy templates for mental health practices including session rates, sliding scale policy, payment policies, and Good Faith Estimate template for No Surprises Act compliance.

Last updated August 26, 2026

Cover page of the Fee Schedule & Financial Policy Template PDF

What's inside

1
Why Clear Financial Policies Matter
2
Part 1: Fee Schedule Template
3
Part 2: Sliding Scale Policy Template
4
Part 3: Payment Policy / Financial Agreement
5
Part 4: Good Faith Estimate Template (No Surprises Act)
6
Best Practices Summary

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Frequently Asked Questions

This resource includes Why Clear Financial Policies Matter, Part 1: Fee Schedule Template, Part 2: Sliding Scale Policy Template, and 3 more sections. Complete fee schedule and financial policy templates for mental health practices including session rates, sliding scale policy, payment policies, and Good Faith Estimate template for No Surprises Act compliance.

The Fee Schedule & Financial Policy Template is designed for behavioral health professionals, including therapists, counselors, clinical directors, and practice administrators. It provides practical tools and frameworks that can be immediately applied in mental health, substance use disorder, and integrated care settings.

Yes, the Fee Schedule & Financial Policy Template is completely free. Enter your name, work email, and role, and the download starts immediately. Where a resource also has a print-ready form version, the same details unlock both files.

The Fee Schedule & Financial Policy Template is designed to be adapted to your specific practice needs. All templates and frameworks can be modified to match your workflow, documentation requirements, and clinical approach.

Ease Health provides an all-in-one EHR, billing, and CRM platform purpose-built for behavioral health. It brings admissions and referral tracking, clinical documentation, and billing into one system, with AI assistance built into the documentation workflow rather than bolted on. Request a demo at easehealth.com to learn more.