AGREEMENT FOR SERVICE/INFORMED CONSENTSeptember 17th, 2012
FiledSeptember 17th, 2012This Agreement is intended to provide [client name] (herein referred to as Client) with important information regarding the practices, policies and procedures of Therapy Associates (herein referred to as the “Office”), and the Therapist named above (herein referred to as the “Therapist”) and to clarify the terms of the professional therapeutic relationship between the Therapist and the Client. Any questions or concerns regarding the contents of this Agreement should be discussed with the Therapist prior to signing it.