Common Contracts
11 similar Patient Services Agreement contracts
SHELTON EVALUATION CENTER PATIENT SERVICES AGREEMENTPatient Services Agreement • February 21st, 2024
Welcome to the Shelton Evaluation Center. This agreement contains important information about the center’s professional services and business policies, including the nature of you or your child’s evaluation, the fee arrangement, and the confidentiality of information. Although this document is long and sometimes complex, it is important that you read it carefully before the evaluation. When you sign this document, it will represent an agreement between you and the Shelton Evaluation Center (SEC). Please read it in advance and plan on meeting to discuss the agreement and any questions you may have at the time of the evaluation. The evaluation cannot proceed until you have fully read and understood this agreement in its entirety.
SHELTON EVALUATION CENTER PATIENT SERVICES AGREEMENTPatient Services Agreement • October 30th, 2023
Welcome to the Shelton Evaluation Center. This agreement contains important information about the center’s professional services and business policies, including the nature of you or your child’s evaluation, the fee arrangement, and the confidentiality of information. Although this document is long and sometimes complex, it is important that you read it carefully before the evaluation. When you sign this document, it will represent an agreement between you and the Shelton Evaluation Center (SEC). Please read it in advance and plan on meeting to discuss the agreement and any questions you may have at the time of the evaluation. The evaluation cannot proceed until you have fully read and understood this agreement in its entirety.
SHELTON EVALUATION CENTER PATIENT SERVICES AGREEMENTPatient Services Agreement • February 3rd, 2023
Welcome to the Shelton Evaluation Center. This agreement contains important information about the center’s professional services and business policies, including the nature of you or your child’s evaluation, the fee arrangement, and the confidentiality of information. Although this document is long and sometimes complex, it is important that you read it carefully before the evaluation. When you sign this document, it will represent an agreement between you and the Shelton Evaluation Center (SEC). Please read it in advance and plan on meeting to discuss the agreement and any questions you may have at the time of the evaluation. The evaluation cannot proceed until you have fully read and understood this agreement in its entirety.
SHELTON EVALUATION CENTER PATIENT SERVICES AGREEMENTPatient Services Agreement • January 17th, 2023
Welcome to the Shelton Evaluation Center. This agreement contains important information about the center’s professional services and business policies, including the nature of you or your child’s evaluation, the fee arrangement, and the confidentiality of information. Although this document is long and sometimes complex, it is important that you read it carefully before the evaluation. When you sign this document, it will represent an agreement between you and the Shelton Evaluation Center (SEC). Please read it in advance and plan on meeting to discuss the agreement and any questions you may have at the time of the evaluation. The evaluation cannot proceed until you have fully read and understood this agreement in its entirety.
SHELTON EVALUATION CENTER PATIENT SERVICES AGREEMENTPatient Services Agreement • October 26th, 2022
Welcome to the Shelton Evaluation Center. This agreement contains important information about the center’s professional services and business policies, including the nature of you or your child’s evaluation, the fee arrangement, and the confidentiality of information. Although this document is long and sometimes complex, it is important that you read it carefully before the evaluation. When you sign this document, it will represent an agreement between you and the Shelton Evaluation Center (SEC). Please read it in advance and plan on meeting to discuss the agreement and any questions you may have at the time of the evaluation. The evaluation cannot proceed until you have fully read and understood this agreement in its entirety.
SHELTON EVALUATION CENTER PATIENT SERVICES AGREEMENTPatient Services Agreement • October 11th, 2022
Welcome to the Shelton Evaluation Center. This agreement contains important information about the center’s professional services and business policies, including the nature of you or your child’s evaluation, the fee arrangement, and the confidentiality of information. Although this document is long and sometimes complex, it is important that you read it carefully before the evaluation. When you sign this document, it will represent an agreement between you and the Shelton Evaluation Center (SEC). Please read it in advance and plan on meeting to discuss the agreement and any questions you may have at the time of the evaluation. The evaluation cannot proceed until you have fully read and understood this agreement in its entirety.
SHELTON EVALUATION CENTER PATIENT SERVICES AGREEMENTPatient Services Agreement • August 16th, 2022
Welcome to the Shelton Evaluation Center. This agreement contains important information about the center’s professional services and business policies, including the nature of you or your child’s evaluation, the fee arrangement, and the confidentiality of information. Although this document is long and sometimes complex, it is important that you read it carefully before the evaluation. When you sign this document, it will represent an agreement between you and the Shelton Evaluation Center (SEC). Please read it in advance and plan on meeting to discuss the agreement and any questions you may have at the time of the evaluation. The evaluation cannot proceed until you have fully read and understood this agreement in its entirety.
SHELTON EVALUATION CENTER PATIENT SERVICES AGREEMENTPatient Services Agreement • August 1st, 2022
Welcome to the Shelton Evaluation Center. This agreement contains important information about the center’s professional services and business policies, including the nature of you or your child’s evaluation, the fee arrangement, and the confidentiality of information. Although this document is long and sometimes complex, it is important that you read it carefully before the evaluation. When you sign this document, it will represent an agreement between you and the Shelton Evaluation Center (SEC). Please read it in advance and plan on meeting to discuss the agreement and any questions you may have at the time of the evaluation. The evaluation cannot proceed until you have fully read and understood this agreement in its entirety.
SHELTON EVALUATION CENTER PATIENT SERVICES AGREEMENTPatient Services Agreement • March 30th, 2022
Welcome to the Shelton Evaluation Center. This agreement contains important information about the center’s professional services and business policies, including the nature of you or your child’s evaluation, the fee arrangement, and the confidentiality of information. Although this document is long and sometimes complex, it is important that you read it carefully before the evaluation. When you sign this document, it will represent an agreement between you and the Shelton Evaluation Center (SEC). Please read it in advance and plan on meeting to discuss the agreement and any questions you may have at the time of the evaluation. The evaluation cannot proceed until you have fully read and understood this agreement in its entirety.
SHELTON EVALUATION CENTER PATIENT SERVICES AGREEMENTPatient Services Agreement • August 31st, 2021
Welcome to the Shelton Evaluation Center. This agreement contains important information about the center’s professional services and business policies, including the nature of you or your child’s evaluation, the fee arrangement, and the confidentiality of information. Although this document is long and sometimes complex, it is important that you read it carefully before the evaluation. When you sign this document, it will represent an agreement between you and the Shelton Evaluation Center (SEC). Please read it in advance and plan on meeting to discuss the agreement and any questions you may have at the time of the evaluation. The evaluation cannot proceed until you have fully read and understood this agreement in its entirety.
SHELTON EVALUATION CENTER PATIENT SERVICES AGREEMENTPatient Services Agreement • August 1st, 2020
Welcome to the Shelton Evaluation Center. This agreement contains important information about the center’s professional services and business policies, including the nature of you or your child’s evaluation, the fee arrangement, and the confidentiality of information. Although this document is long and sometimes complex, it is important that you read it carefully before the evaluation. When you sign this document, it will represent an agreement between you and the Shelton Evaluation Center (SEC). Please read it in advance and plan on meeting to discuss the agreement and any questions you may have at the time of the evaluation. The evaluation cannot proceed until you have fully read and understood this agreement in its entirety.
