William G. Austin, Ph.D.
Licensed Psychologist
(303) 670-6767 voice
(303) 217-8990 fax
Lakewood, Colorado
Raleigh, North Carolina
Wilmington, North Carolina
Email: wgaustinphd2@yahoo.com
   

William G. Austin, Ph.D.

Licensed Psychologist

Colorado and North Carolina

www.parentalgatekeeping.com

FORMS, FEES & PAYMENT METHODS

Parent Information Form

Please fill out appropriate form for a service and bring to first appointment.

Go to webpage for chosen service and download the form for either Settlement Facilitation and Parenting Plan Development; or,

Co-Parenting Education and Coaching for Parents in Conflict, or

Relocation and Long Distance Parenting, or

Parenting Coordination

Payment

On this page you can click for Credit Card Billing and/or the description of fees for the gatekeeping-related services for either the Colorado or North Carolina offices.

For all of the services on this website there are several options for payment. All services require pre-payment.

You can pay by sending a check to Dr. Austin at the Evergreen post office box for Colorado cases or to the Wrightsville Beach post office box for North Carolina cases.

You can download the credit card information form and fax to Dr. Austin at 303.217.8990 or scan and fax to him wgaustinphd2@yahoo.com

You can send a check to Dr. Austin for the required payment and send an email or leave voice message that you have done so. Appointments cannot be set until prepayment has been received.

For all of the services, after arranging for pre-payment, you should e-mail Dr. Austin and let him know that payment has been made; the amount paid; and how the payment was made. That is, indicate how credit card payment was made or that a check was mailed.

Fees for Gatekeeping Services in Colorado

Down load Credit Card Form for Colorado

Fees for Gatekeeping Services in North Carolina


Down load Parent Information Form

  Services Available in Colorado and North Carolina Locations
Lakewood, Colorado
Cary and Wilmington, North Carolina