Common Contracts
2 similar Agreement for Service / Informed Consent contracts
Eileen Drapiza-Dornan, M.A., LMFTAgreement for Service / Informed Consent • May 22nd, 2015
This Agreement is intended to provide [name of patient/s] (herein “Patient”) with important information regarding the practices, polices and procedures of Eileen Dapiza-Dornan, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.
Eileen Drapiza-Dornan, M.A., LMFTAgreement for Service / Informed Consent • July 30th, 2014
This Agreement is intended to provide [name of patient/s] (herein “Patient”) with important information regarding the practices, polices and procedures of Eileen Dapiza-Dornan, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.
