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Little Big and LOUD


Attendance and participation in therapy along with complete compliance with any associated home programs, are essential for therapeutic success.  While Little Big and LOUD, PLLC understands that illnesses and emergencies occur, we respectfully request that you avoid frequent cancellations or "no shows."  Please adhere to our following policy regarding providing our office with advance notification for any cancellations resulting from a conflicting appointment, vacation, obligations for work or family, or any other event.

With the exception of emergency situations (death in family, hospitalization, emergency doctor visit), all cancellations must be within 24 hours prior to your scheduled appointment by calling/texting/emailing our office.  We consider the following to be examples of NON-EMERGENCY reasons to cancel an appointment: vacations, family events, parties, holiday, day before or after a holiday, car trouble, traffic, lack of babysitter, after school activities, schedule conflict, and sibling illness.

Cancellations may be subject to a $25 charge, IF NOT RECEIVED AT LEAST 24 HOURS IN ADVANCE.  If cancellations are due to Covid or an unrelated illness a doctor's note and/or a note from the school will be required to avoid a fee. 


All "no-shows" will be charged a $50 fee.  This is necessary because a time commitment is made to you and is held exclusively for you.  If you are late to a session, you may lose some of the session time.


In order to meet the needs and achieve the goals of our patients, regular attendance is necessary.  Attendance is required to be at or about 80% of scheduled therapy sessions.  The patient needs to attend at least 8/10 therapy sessions in order to keep his or her therapy time.  Additionally, if you arrive late to a scheduled appointment, the session will still end at the scheduled time or may be cancelled altogether.

If you fail to appear for an appointment (no-show) without providing the appropriate advance notification within the plan of care, the office will reserve the right to cancel all pending appointments and to no longer offer services to you as a client.

TELEPHONE ACCESSIBILITY: If you need to contact us between sessions, please leave a message on our voicemail.  We are often not immediately available; however, we will attempt to return your call within 24 hours.


Thank you for choosing Little Big and LOUD Pediatric Therapy as your child/ren's therapy provider.  We are committed to providing you with the highest quality care.  Please know that the timely payment of your bill is an integral part of our service and as such, this payment policy is an agreement between you and Little Big and LOUD for payment of services provided.

Please read the following information carefully:

All therapy fees (including session fees and/or co-pays, if applicable) are due at the time of service.

Parents/Guardians are responsible for all costs/fees that any third-party payer (ex. insurance company, private school, etc.) does not cover.  In the event that a third-party payer source determines that rendered therapy services are "not covered" or otherwise denied, the parent/guardian will be responsible for all outstanding charges.  If fees are not paid in full, treatment sessions may be postponed or cancelled until payment is received.

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