Common Contracts
2 similar Services and Consent Agreement contracts
Client Services and Consent AgreementServices and Consent Agreement • July 20th, 2012
I, the undersigned, wish to receive psychotherapy services from the Bell Center for Anxiety and Depression (the "Practice") and Elspeth Bell, Ph.D. ("Dr. Bell") and/or the clinicians employed by the Practice, each referred to as a “Provider” or together referred to as a “the Providers”. I understand that these psychotherapy services are offered subject to the following terms and conditions:
Client Services and Consent AgreementServices and Consent Agreement • July 20th, 2012
I, the undersigned, wish to receive psychotherapy services from the Bell Center for Anxiety and Depression (the "Practice") and Elspeth Bell, Ph.D. ("Dr. Bell") and/or the clinicians employed by the Practice, each referred to as a “Provider” or together referred to as a “the Providers”. I understand that these psychotherapy services are offered subject to the following terms and conditions:
