Common Contracts
1 similar Informed Consent Agreement contracts
Maitri Counseling Psychotherapy Services ~ Servicios de Psicoterapia AGREEMENT FOR SERVICE / INFORMED CONSENTInformed Consent Agreement • March 3rd, 2014
This Agreement is intended to provide __________________________________________ (herein “Patient”) with important information regarding the practices, policies and procedures of Maitri Counseling, Silvia Dominguez-Rios Licensed Marriage and Family Therapist (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.
