Common Contracts
3 similar Agreement for Services/Informed Consent contracts
AGREEMENT FOR SERVICES/INFORMED CONSENTAgreement for Services/Informed Consent • August 3rd, 2022
This Agreement is intended to inform you, the Client, of my practices, policies, and procedures, and to clarify the terms of the professional therapeutic relationship between us. You may revoke/cancel this Agreement in writing at any time. That revocation will terminate our therapeutic relationship and will be binding, unless I have already relied on this Agreement to take legal action or if you have not paid your bill in full. If you have any questions or concerns regarding the contents of this Agreement, please be sure to discuss them with me before signing it.
AGREEMENT FOR SERVICES/INFORMED CONSENTAgreement for Services/Informed Consent • August 26th, 2021
This Agreement is intended to inform you, the Client, of my practices, policies, and procedures, and to clarify the terms of the professional therapeutic relationship between us. You may revoke/cancel this Agreement in writing at any time. That revocation will terminate our therapeutic relationship and will be binding, unless I have already relied on this Agreement to take legal action or if you have not paid your bill in full. If you have any questions or concerns regarding the contents of this Agreement, please be sure to discuss them with me before signing it.
Shereen Hariri, MA, MFT MFC #49519Agreement for Services / Informed Consent • December 8th, 2011
This Agreement is intended to inform you, the Client, of my practices, policies, and procedures, and to clarify the terms of the professional therapeutic relationship between us. You may revoke/cancel this Agreement in writing at any time. That revocation will terminate our therapeutic relationship and will be binding, unless I have already relied on this Agreement to take legal action or if you have not paid your bill in full. If you have any questions or concerns regarding the contents of this Agreement, please be sure to discuss them with me before signing it.
