AGREEMENT FOR SERVICE / INFORMED CONSENTService Agreement • December 8th, 2024
Contract Type FiledDecember 8th, 2024(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.