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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 January 29, 2026

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. Simply enter your email address and you will receive immediate access to the full PDF download. We believe in providing valuable resources to help behavioral health practices succeed.

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. With AI-powered documentation, a 98% net collection rate, and support for 17+ treatment modalities, Ease Health helps practices reduce admin burden and improve outcomes. Request a demo at easehealth.com to learn more.