AGREEMENT FOR SERVICE / INFORMED CONSENTAgreement for Service • November 29th, 2021
Contract Type FiledNovember 29th, 2021Introduction: This Agreement is intended to provide (herein “Patient”) with important information about the practices and policies of Caitlin R. Burgess, JD, MA, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns about the contents of this Agreement should be discussed with Thera- pist prior to signing it.
AGREEMENT FOR SERVICE / INFORMED CONSENTAgreement for Service • April 16th, 2021
Contract Type FiledApril 16th, 2021Introduction: This Agreement is intended to provide (herein “Patient”) with important information about the practices and policies of Caitlin R. Burgess, JD, MA, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns about the contents of this Agreement should be discussed with Thera- pist prior to signing it.
AGREEMENT FOR SERVICE / INFORMED CONSENTAgreement for Service • March 17th, 2021
Contract Type FiledMarch 17th, 2021Introduction: This Agreement is intended to provide (herein “Patient”) with important information about the practices and policies of Caitlin R. Burgess, JD, MA, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns about the contents of this Agreement should be discussed with Thera- pist prior to signing it.
AGREEMENT FOR SERVICE / INFORMED CONSENTAgreement for Service • November 4th, 2020
Contract Type FiledNovember 4th, 2020Introduction: This Agreement is intended to provide (herein “Patient”) with important information about the practices and policies of Caitlin R. Burgess, JD, MA, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns about the contents of this Agreement should be discussed with Thera- pist prior to signing it.
AGREEMENT FOR SERVICE / INFORMED CONSENTAgreement for Service • May 23rd, 2020
Contract Type FiledMay 23rd, 2020Introduction: This Agreement is intended to provide (herein “Patient”) with important information about the practices and policies of Caitlin R. Burgess, JD, MA, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns about the contents of this Agreement should be discussed with Thera- pist prior to signing it.