Jose’ FreemanAgreement for Service / Informed Consent for Minors • January 18th, 2022
Contract Type FiledJanuary 18th, 2022This Agreement has been created for the purpose of outlining the terms and conditions of services to be provided by Jose Freeman for the minor Child/ren
GREAT MINDS THERAPYAgreement for Service / Informed Consent for Minors • August 18th, 2021
Contract Type FiledAugust 18th, 2021
AGREEMENT FOR SERVICE / INFORMED CONSENT FOR MINORSAgreement for Service / Informed Consent for Minors • August 30th, 2017
Contract Type FiledAugust 30th, 2017This Agreement has been created for the purpose of outlining the terms and conditions of services to be provided by Jenn Harrington for the minor child(ren
Rebecca Zulim, M.A.Agreement for Service / Informed Consent for Minors • April 3rd, 2015
Contract Type FiledApril 3rd, 2015This Agreement has been created for the purpose of outlining the terms and conditions of services to be provided by Rebecca Zulim for the minor child(ren
Eileen Drapiza-Dornan, M.A., MFTAgreement for Service / Informed Consent for Minors • April 5th, 2014
Contract Type FiledApril 5th, 2014This Agreement has been created for the purpose of outlining the terms and conditions of services to be provided by Eileen Drapiza-Dornan, LMFT for the minor children
AGREEMENT FOR SERVICE / INFORMED CONSENT FOR MINORSAgreement for Service / Informed Consent for Minors • December 27th, 2007
Contract Type FiledDecember 27th, 2007This Agreement has been created for the purpose of outlining the terms and conditions of services to be provided by Suzette M. Spence, MFT # 35422 for the minor child(ren)