Rebecca Picard, LMFT Psychotherapist 45121 Ukiah Street, Suite C Mendocino, CA 95460Agreement for Services/Informed Consent • May 15th, 2020
Contract Type FiledMay 15th, 2020Introduction. This agreement is intended to provide ______________________ (“the client” or “you”) with important information regarding the services of and therapy relationship with Rebecca Picard, M.A. (“therapist”), Licensed Marriage and Family Therapist #112212. The client is welcome to ask questions about Rebecca Picard’s background and orientation or about any aspect of this agreement at any time.