Common Contracts
3 similar Client Consent for Treatment contracts
Michelle Sicula, M.A., J.D.Client Consent for Treatment • January 30th, 2015
The following information is provided to assist you in understanding policies and procedures at my office. Any questions or concerns you may have regarding the contents of this agreement should be discussed prior to signing it. By signing this agreement, you agree and acknowledge that any questions and/or concerns you have regarding the services or this agreement have been answered and resolved to your satisfaction.
Michelle Sicula, M.A., J.D.Client Consent for Treatment • June 19th, 2014
The following information is provided to assist you in understanding policies and procedures at my office. Any questions or concerns you may have regarding the contents of this agreement should be discussed prior to signing it. By signing this agreement, you agree and acknowledge that any questions and/or concerns you have regarding the services or this agreement have been answered and resolved to your satisfaction.
Michelle Sicula, J.D., M.A.Client Consent for Treatment • February 19th, 2014
The following information is provided to assist you in understanding policies and procedures at my office. Any questions or concerns you may have regarding the contents of this agreement should be discussed prior to signing it. By signing this agreement, you agree and acknowledge that any questions and/or concerns you have regarding the services or this agreement have been answered and resolved to your satisfaction.
