Quiet Waters CounselingAgreement for Service / Informed Consent • July 2nd, 2015
Contract Type FiledJuly 2nd, 2015This Agreement is intended to provide [name of patient] (herein “Patient”) with important information regarding the practices, polices and procedures of Anthony Q. Liu, MFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.