Common Contracts

3 similar Financial Responsibility and Retainer Agreement contracts

Financial Responsibility and Retainer Agreement for Reunification Therapy
Financial Responsibility and Retainer Agreement • August 29th, 2023

consultations, interviews, broken and canceled appointments, testing, reviewed printed material, reviewing documents, preparing, and providing reports, affidavits, testimony, and staff and research assistant time. The fee schedule for all services by Dr. Silverman is included on a separate page, however, specifically clinical sessions will be rated at $350 per session.

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Financial Responsibility and Retainer Agreement for Reunification Therapy
Financial Responsibility and Retainer Agreement • August 21st, 2023

consultations, interviews, broken and canceled appointments, testing, reviewed printed material, reviewing documents, preparing, and providing reports, affidavits, testimony, and staff and research assistant time. The fee schedule for all services by Dr. Silverman is included on a separate page, however, specifically clinical sessions will be rated at $350 per session.

Financial Responsibility and Retainer Agreement for Reunification Therapy
Financial Responsibility and Retainer Agreement • November 10th, 2021

consultations, interviews, broken and canceled appointments, testing, reviewed printed material, reviewing documents, preparing, and providing reports, affidavits, testimony, and staff and research assistant time. The fee schedule for all services by Dr. Silverman is included on a separate page, however, specifically clinical sessions will be rated at $250 per session.

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