Common Contracts
1 similar Psychotherapy Services Agreement contracts
GENERAL INFORMATION & AGREEMENT FOR PSYCHOTHERAPY SERVICESPsychotherapy Services Agreement • November 19th, 2022
a Marriage and Family Therapist Intern [under direct supervision and employment of Dr. Glenn E. McClellan, Ph.D. (license #psy14169), to carry out psychotherapy services and treatment now and during the course of my care as a client.Thank you for taking the time to complete this form. It will take approximately 5 minutes to respond to these prompts and questions. The information obtained here is strictly confidential and will be used to better direct and serve you during our counseling time. If there are some questions you would prefer to bring up in person, feel free to leave them blank or write “will respond later”.) Thank you.
