Here's how I do it...
If they want PT care they tell me which 2 or 3 days they need. It can be any combination just as long as they don't change the days. They pick the days and stick to them.

If their schedule will change week to week then I charge for FT because they are taking up a FT spot since I won't be able to find a family to take the random days they won't use due to their schedules changing each week. In this case, even if they pay for FT they need to give me a schedule of days that they will be using. Some providers ask for 2 weeks in advance, I only ask for 1 week in advance. After that any changes have to be brought up a minimum of 24 hours in advance and I have to approve them. They don't just show up whenever they want. If they do and the day is not on their scheduled day then they pay for the extra fee or they're turned away at the door. They can avoid paying extra simply by letting me know in advance if they need an extra day.

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