Home

Site Map

About Roger

Presentations (New!)

Curriculum Vita

Contact Me

Description of Business

Copyright Issues

Articles and Writings

Bee Baxter Meyer

Links

Portland Oregon Adult Resources

Current Research Projects

Hubert Cross Website

 

SPECIAL EDUCATION ADVOCACY SERVICES AGREEMENT

 

 

     This is a contract for services agreement between Roger N. Meyer, D.B.A. "..of a different mind" and the parties named below (hereafter referred to as the client(s) wherein Roger N. Meyer agrees to provide those services as indicated in the cover sheet to this contract.  Such services shall be provided for determination of eligibility and provision of services by the school district and/or Educational Services District for the student whose name and signature appears below.

 

All signatories to this document are of the understanding that:

 

         Roger N. Meyer will hold all information about the client(s)' family in strictest confidence.  Client(s)' lnitials______.

 

         The client(s) will be regularly informed of contacts, phone consultations and/or conferences with the students' district representative and other authorities within the education system serving the student as well as independent consultants hired either by the school district or by the student's parents and/or him and herself.  Client(s)' Initials______.

 

         Roger N. Meyer is bound by the Standards and Code of Ethics of the American Counseling Association (ACA).  Client(s)' Initials_______.

 

         Roger N. Meyer is obligated by Oregon Revised Statutes to report information regarding child or elder abuse to appropriate authorities of the State of Oregon.  Client(s)' Initials_________.

 

     It is the philosophy of Roger N. Meyer to work cooperatively with service providers in an effort to establish positive working relationships on behalf of the student, the parent(s) and their community support system.  "...of a different mind" operates under the principals of collaborative problem solving and management of conflict in a non-adversarial manner.

 

         Either party upon notification of the other may terminate this agreement.  Client(s)' initials_________.

 

     There shall be no charge for the first hour of consultation.  Provision of services by Roger N. Meyer shall be by fee-for-service (project by project) and/or by hourly rate as agreed upon prior to the signing of this contract.  Any modification of the terms of service shall be in writing and attached as addenda to this agreement.  Fee rates shall be agreed upon at the conclusion of the first hour of consultation.  Billing shall be monthly.  Absent other arrangements in writing, failure to pay constitutes cause for immediate termination of this agreement.

 

     For billing at hourly rates, "of a different mind" has a tri-level fee structure.  Those rates are as follows:  (a) direct conference attendance (door to door travel included, but at travel rate) base rate $80.00/hr; (b) administrative, travel and non-client-contact services, base rate $40.00/hr; and (c) special educational conference (Evaluation, IEP, Transition) preparation and individual/family consultation and coaching, base rate $60.00/hr.  Unusual document reproduction or access fees shall be billed on a pass-through basis.  There is no charge for brief phone calls for "checking in" and scheduling.  Ceiling costs will be established and agreed to in advance for special projects conducted under terms of hourly fees billing as identified in addenda to this agreement, and/or for primary billing based on fee for service work.  Both parties agree that disputes relating solely to costs, not service quality, shall be resolved through mediation, and failing that, binding arbitration.

 

Terms of Contract:  ____________Hourly                 ____________Project by Project

                                                  payer's initials                                           payer's initials

 

____________________________Date_______   ______________________________

            ROGER N. MEYER                                                   CLIENT SIGNATURE

 

                                                                                    _____________________________

                                                                                                CLIENT SIGNATURE

 

I have received and read a copy of "Fee Structure and Billing Practices for Private Clients."   _______(client initials

 

OADM Special Education Contract Form 9/04

Go to the Top