Release of Information Notice

By enrolling in services with Atlas Counseling & Education LLC, the client acknowledges and agrees that information related to their participation may be released to authorized entities involved in their case. This may include, but is not limited to, probation officers, courts, attorneys, and referring agencies for the purpose of verifying enrollment, attendance, progress, compliance, and completion of required services.

This release is limited to the minimum necessary information required to fulfill legal, court, or referral obligations and is conducted in accordance with applicable confidentiality laws and regulations.

Financial Responsibility & Payment Authorization

I understand that I am voluntarily enrolling in services provided by Atlas Counseling & Education LLC. By submitting payment, I confirm that I am the authorized cardholder or have permission from the cardholder to complete this transaction.

I acknowledge that I am responsible for selecting the correct program or service required by my court, community supervision officer, attorney, or other referring entity. Atlas Counseling & Education LLC does not determine eligibility or required level of care, and no guarantees are made regarding acceptance of services by any third party.

I understand that all sales are final. No refunds will be issued for any reason, including but not limited to enrolling in the incorrect program, failure to attend sessions, removal from the program due to policy violations, or failure to complete program requirements.

I agree not to initiate a chargeback, dispute, or reversal of payment through my bank or credit card provider without first contacting Atlas Counseling & Education LLC to attempt to resolve the matter.

In the event that a chargeback, dispute, or payment reversal is initiated, I authorize Atlas Counseling & Education LLC to provide the minimum necessary information required to respond to and resolve the dispute. This may include proof of payment, signed agreements, and relevant communication records. I understand that any disclosure will be limited in accordance with applicable privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA), and any other applicable federal or state confidentiality regulations.

I understand that submitting a chargeback does not cancel my financial obligation, and I remain responsible for any outstanding balance owed for services rendered or made available.

Final Acknowledgment Before Payment

I understand that I am selecting the correct program required by my court or supervising authority. I understand that all payments are final and non-refundable, and that failure to attend or complete the program does not entitle me to a refund.