Common Contracts
2 similar Disclosure Statement and Agreement contracts
Disclosure Statement and AgreementDisclosure Statement and Agreement • October 8th, 2020
Thank you for allowing Alyssa Najera and Associates, a Licensed Clinical Social Worker Corporation DBA Small Town Counseling CA, Inc. to be part of your mental health team. We are a Licensed Clinical Social Worker Corporation that provides mental health/therapy services. This document is intended to provide information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
Disclosure Statement and AgreementDisclosure Statement and Agreement • September 6th, 2019
Thank you for allowing Alyssa Najera and Associates, a Licensed Clinical Social Worker Corporation DBA Small Town Counseling CA, Inc. to be part of your mental health team. We are a Licensed Clinical Social Worker Corporation that provides mental health/therapy services. This document is intended to provide information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
