Common Contracts
2 similar Informed Consent for Psychotherapy Services contracts
Email: naomi@naomiberrycounseling.com Website: naomiberrycounseling.com Phone: 480-427-3553Informed Consent for Psychotherapy Services • October 23rd, 2017
Welcome! I look forward to working with you. I know that starting therapy is a major decision and you may have many questions. The purpose of this document is to inform you about my counseling services and business policies. Please read this agreement very carefully. The Arizona State Board of Behavioral Health Examiners requires that I obtain your signature acknowledging that I have provided you with this information. You may ask questions about any of these procedures at any time. When you sign this document, it also represents an agreement between us. You may revoke this agreement or any other agreement at any time. You will need to submit your revocation to me in writing either in person or by certified mail.
Email: naomi@naomiberrycounseling.com Website: naomiberrycounseling.com Phone: 480-427-3553Informed Consent for Psychotherapy Services • August 10th, 2016
Welcome! I look forward to working with you. I know that starting therapy is a major decision and you may have many questions. The purpose of this document is to inform you about my counseling services and business policies. Please read this agreement very carefully. The Arizona State Board of Behavioral Health Examiners requires that I obtain your signature acknowledging that I have provided you with this information. You may ask questions about any of these procedures at any time. When you sign this document, it also represents an agreement between us. You may revoke this agreement or any other agreement at any time. You will need to submit your revocation to me in writing either in person or by certified mail.
