Common Contracts
1 similar Use and Disclose Your Health Information contracts
This form is an agreement between you, and meUse and Disclose Your Health Information • September 9th, 2021
Katherine Ziff, LPC, Ph.D., and supervising psychologist, Kristina Houser, Ph.D., Licensed Psychologist, LPCC-S When I use the word “you”, it will mean your child, relative, or other person if you have written his or her name here:
