AGREEMENT FOR SERVICE/INFORMED CONSENTAgreement for Service/Informed Consent • November 15th, 2019
Contract Type FiledNovember 15th, 2019This Agreement is intended to provide [client name] (herein referred to as Client) with important information regarding the practices, policies and procedures of Lorelei A. O’Neill, Licensed Marriage & Family Therapist Professional Corporation (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.
AGREEMENT FOR SERVICE/INFORMED CONSENTAgreement for Service/Informed Consent • September 17th, 2012
Contract Type 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.