Common Contracts
5 similar null contracts
Stephanie Chase, LMFTSeptember 26th, 2022
This Agreement has been created for the purpose of outlining the terms and conditions of services to be provided by Stephanie Chase, MFT, for [name of the minor child(ren) herein “Patient”]:
Nelson Saez, ACSW, MSW #75017 Associate Clinical Social Worker 441 N. Central Ave. #6September 24th, 2022
This Agreement has been created for the purpose of outlining the terms and conditions of services to be provided by Nelson Saez, ACSW, MSW, for [name of the minor child(ren) herein “Patient”]:
Ingrid Higgins, LMFTSeptember 19th, 2022
This Agreement has been created for the purpose of outlining the terms and conditions of services to be provided by Ingrid Higgins, MFT, for [name of the minor child(ren) herein “Patient”]:
Sharmaine Cardenas, ACSW, #97169 Associate Clinical Social Worker 441 N. Central Ave. #6June 1st, 2022
This Agreement has been created for the purpose of outlining the terms and conditions of services to be provided by Sharmaine Cardenas, ACSW, for [name of the minor child(ren) herein “Patient”]:
Mitchell Gale, AMFTApril 20th, 2020
This Agreement has been created for the purpose of outlining the terms and conditions of services to be provided by Mitchell Gale, AMFT, for [name of the minor child(ren) herein “Patient”]:
