Sliding Scale

Sliding Scale Policy

At Shannon Rolph Occupational Therapy, we believe financial circumstances shouldn't be a barrier to accessing care.

Our sliding scale offers three fee options based on the Green Bottle Sliding Scale Model by Alexis J. Cunningfolk. The descriptions below are intended to help you understand the different fee options and consider which may best reflect your current financial circumstances.

We trust families to determine what is financially sustainable for them. There is no application process, and we do not require proof of income.

If you would like to access services at a reduced rate, please speak with your therapist or contact us to discuss current availability.

Price Point #1 - $165 per 50-minute Occupational Therapy/Psychotherapy session

This is our standard fee and reflects the full cost of services.

This option is likely the best fit if you generally have financial security, own property or have personal savings, can comfortably pay for discretionary expenses, and don't spend much time worrying about meeting your basic needs.

The following statements are intended as a guide rather than a checklist. You do not need to identify with every statement. Instead, consider which price point best reflects your overall financial circumstances.

• I can meet all my basic needs and, if applicable, my family's basic needs, including food, housing, and transportation.

• I may have some personal debt, but it does not limit my ability to meet my needs.

• I own my home/property, rent a higher-end property, or live in a family-owned home with minimal shared housing costs.

• I and/or my family have assets, such as retirement accounts, investments, or property.

• I have financial savings and access to support if needed.

• I am employed and my career is stable, or I do not need to work to meet my needs.

• I have expendable income, such as dining out, concerts, new clothing, or hobbies.

• I own or lease a vehicle.

• I have regular access to healthcare.

• I have extended health benefits covering occupational therapy and/or psychotherapy.

• I can generally buy new items when I need or want them.

• I can take vacations or time away from work without significant financial hardship.

Price Point #2 - $135 per 50-minute Occupational Therapy/Psychotherapy session

This reduced fee is intended for individuals and families who generally meet their needs but have less financial flexibility due to debt, caregiving responsibilities, limited savings, or other financial pressures.

The following statements are intended as a guide rather than a checklist. You do not need to identify with every statement. Instead, consider which price point best reflects your overall financial circumstances.

• I sometimes worry about meeting my basic needs, but I am generally able to do so.

• I have some personal debt, but it does not prevent me from meeting my basic needs.

• I have stable housing and am responsible for most or all of my housing costs.

• I am employed, although I may work part-time.

• I have limited financial savings.

• I have limited expendable income and usually need to budget for discretionary purchases.

• I financially support others in addition to myself.

• I buy some new items, but I usually shop second-hand or wait for sales.

• I need to actively save for vacations or time away from work.

• I live with a health condition or disability but am able to work most of the time.

Price Point #3 - $100 per 50-minute Occupational Therapy/Psychotherapy session (Limited Spaces)

Subject to availability

This reduced fee is intended for individuals and families who are experiencing significant financial hardship and whose access to therapy would otherwise be limited.

The following statements are intended as a guide rather than a checklist. You do not need to identify with every statement. Instead, consider which price point best reflects your overall financial circumstances.

• I frequently struggle to meet my basic needs, including food, housing, and transportation.

• Debt sometimes prevents me from meeting my basic needs.

• I rent, have unstable housing, or live in multigenerational housing because of financial necessity.

• I do not own a vehicle or struggle to afford transportation costs.

• I am unemployed or underemployed.

• I have little or no financial savings.

• I have very limited expendable income.

• I rarely buy new items because I cannot afford them.

• I cannot afford vacations or time away from work without financial hardship.

• I live with a health condition or disability that limits my ability to earn a regular income.

• I have significant out-of-pocket healthcare expenses.