Some clients are not able to pay even the smallest amount for music therapy services! Although not specifically required by codes of ethics in the music therapy profession, other professional codes (e.g., psychology) require therapists to provide some pro bono (free) services to clients who are unable to pay. The therapist continues to be obligated to ethical and legal standards when providing these services (Peterson, 1996). When pro bono services are offered to some clients, these arrangements should be determined prior to the beginning of treatment. Unpaid accounts that are considered pro bono after the fact make the therapist vulnerable to professional sanctions (Bennett, et aI., 1990). For some professions, clients who are completely unable to pay for treatment, may be referred to other sources (e.g., community agencies) for more affordable services. Whereas this may be an ethical practice technically, the present author contends that this practice is indeed ethically questionable in music therapy, especially given the lack of potential sources of music therapy treatment in many locales. It is hoped that music therapists will negotiate payment options, including the possibility of pro bono work, external funding, etc., so that the client in financial distress may have access to music therapy treatment. Bartering with clients, i.e., exchanges goods for services, is not an ethically sound practice because of the risks of the establishment of dual relationships.