William G. Austin, Ph.D.
Colorado and North Carolina
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
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 firstname.lastname@example.org
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