Common Contracts
2 similar null contracts
Beverlee Laidlaw Chasse, MC, LPCAugust 7th, 2018
This document contains important information about the counseling services and business policies of Beverlee Laidlaw Chasse LPC. Please read this agreement very carefully. The Board of Behavioral Health Examiners requires that I obtain your signature acknowledging that I have provided you with this information. You may ask questions about any of these procedures at any time. When you sign this document, it also represents an agreement between us. You may revoke this agreement or any other agreement at any time. You will need to submit your revocation in writing.
Beverlee Laidlaw Chasse, MC, LPCJune 12th, 2017
This document contains important information about the counseling services and business policies of Beverlee Laidlaw Chasse LPC. Please read this agreement very carefully. The Board of Behavioral Health Examiners requires that I obtain your signature acknowledging that I have provided you with this information. You may ask questions about any of these procedures at any time. When you sign this document, it also represents an agreement between us. You may revoke this agreement or any other agreement at any time. You will need to submit your revocation in writing.
