Common Contracts
2 similar Psychologist-Client Agreement contracts
Dr. Eileen R. BorrisPsychologist-Client Agreement • April 16th, 2020
Welcome to my practice! This document (the “Agreement”) contains important information about my professional services and policies. It is intended to help clients understand how my practice operates with respect to the psychologist-client relationship. Please read this information and ask me any questions you may have. Your signature on this document will represent an Agreement between us. You may revoke this Agreement in writing at any time, and that revocation will be binding unless: a) I have taken action in reliance on it; b) your health insurer imposes obligations on me in order to process or substantiate claims made under your policy; or c) you fail to satisfy any financial obligations you have incurred.
Dr. Eileen R. BorrisPsychologist-Client Agreement • April 16th, 2020
Welcome to my practice! This document (the “Agreement”) contains important information about my professional services and policies. It is intended to help clients understand how my practice operates with respect to the psychologist-client relationship. Please read this information and ask me any questions you may have. Your signature on this document will represent an Agreement between us. You may revoke this Agreement in writing at any time, and that revocation will be binding unless: a) I have taken action in reliance on it; b) your health insurer imposes obligations on me in order to process or substantiate claims made under your policy; or c) you fail to satisfy any financial obligations you have incurred.
