Common Contracts

3 similar Consent to Receive Psychological Services contracts

CONSENT TO RECEIVE PSYCHOLOGICAL SERVICES; CONFIDENTIALITY STATEMENT; PAYMENT AGREEMENT
Consent to Receive Psychological Services • October 24th, 2021

I, , understand that psychotherapy and psychological testing have both potential risks as well as potential benefits. I understand that the risks may include, for example, uncomfortable levels of unpleasant emotions. It is also possible that individuals receiving therapy may feel worse, emotionally, before they begin to feel better due to the exploring of uncomfortable experiences and topics.

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CONSENT TO RECEIVE PSYCHOLOGICAL SERVICES; CONFIDENTIALITY STATEMENT; PAYMENT AGREEMENT
Consent to Receive Psychological Services • June 25th, 2021

I, , understand that psychotherapy and psychological testing have both potential risks as well as potential benefits. I understand that the risks may include, for example, uncomfortable levels of unpleasant emotions. It is also possible that individuals receiving therapy may feel worse, emotionally, before they begin to feel better due to the exploring of uncomfortable experiences and topics.

CONSENT TO RECEIVE PSYCHOLOGICAL SERVICES; CONFIDENTIALITY STATEMENT; PAYMENT AGREEMENT
Consent to Receive Psychological Services • July 23rd, 2020

I, , understand that psychotherapy and psychological testing have both potential risks as well as potential benefits. I understand that the risks may include, for example, uncomfortable levels of unpleasant emotions. It is also possible that individuals receiving therapy may feel worse, emotionally, before they begin to feel better due to the exploring of uncomfortable experiences and topics.

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