Common Contracts

3 similar Psychotherapist-Client Services Agreement contracts

PSYCHOTHERAPIST-CLIENT SERVICES AGREEMENT
Psychotherapist-Client Services Agreement • November 13th, 2019

Disclosure of confidential information may be required by your health insurance carrier or HMO/PPO/EAP in order to process the claims. I have no control or knowledge over what insurance companies do with the information.

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PSYCHOTHERAPIST-CLIENT SERVICES AGREEMENT
Psychotherapist-Client Services Agreement • December 22nd, 2017

Disclosure of confidential information may be required by your health insurance carrier or HMO/PPO/EAP in order to process the claims. I have no control or knowledge over what insurance companies do with the information.

PSYCHOTHERAPIST-CLIENT SERVICES AGREEMENT
Psychotherapist-Client Services Agreement • August 21st, 2016

Disclosure of confidential information may be required by your health insurance carrier or HMO/PPO/EAP in order to process the claims. I have no control or knowledge over what insurance companies do with the information.

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