Common Contracts

2 similar Consent to Receive Psychological Services contracts

CONSENT TO RECEIVE PSYCHOLOGICAL SERVICES; CONFIDENTIALITY STATEMENT; PAYMENT AGREEMENT
Consent to Receive Psychological Services • October 24th, 2021

I, , understand that psychotherapy and psychological testing have both potential risks as well as potential benefits. I understand that the risks may include, for ex- ample, uncomfortable levels of unpleasant emotions. It is also possible that individuals receiving therapy may feel worse, emotionally, before they begin to feel better due to the exploring of un- comfortable experiences and topics.

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CONSENT TO RECEIVE PSYCHOLOGICAL SERVICES; CONFIDENTIALITY STATEMENT; PAYMENT AGREEMENT‌
Consent to Receive Psychological Services • June 25th, 2021

I, , understand that psychotherapy and psychological testing have both potential risks as well as potential benefits. I understand that the risks may include, for example, un- comfortable levels of unpleasant emotions. It is also possible that individuals receiving therapy may feel worse, emotionally, before they begin to feel better due to the exploring of uncomfortable experi- ences and topics.

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