Common Contracts

2 similar Outpatient Services Contract contracts

OUTPATIENT SERVICES CONTRACT (Updated 4/12/2021)
Outpatient Services Contract • March 3rd, 2022

Welcome to the Florida MH, LLC practice. This document contains important information about Florida MH, LLC’s professional services and business policies. Please read it carefully and jot down any questions you might have so that we can discuss them at our next meeting. When you sign this document, it will represent an agreement between you and Florida MH, LLC. Florida MH, LLC employs Dr. Si “Arthur” Chen Psy.D (“Dr. Chen”) as a Florida Licensed Psychologist - PY 10667 and a Maryland Licensed Psychologist #06586.

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OUTPATIENT SERVICES CONTRACT (Updated 4/12/2021)
Outpatient Services Contract • April 14th, 2021

Welcome to the Florida MH, LLC practice. This document contains important information about Florida MH, LLC’s professional services and business policies. Please read it carefully and jot down any questions you might have so that we can discuss them at our next meeting. When you sign this document, it will represent an agreement between you and Florida MH, LLC. Florida MH, LLC employs Dr. Si “Arthur” Chen Psy.D (“Dr. Chen”) as a Florida Licensed Psychologist - PY 10667 and a Maryland Licensed Psychologist #06586.

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