Lisa Locke, M.SAgreement for Service / Informed Consent • May 9th, 2017
Contract Type FiledMay 9th, 2017You are seeing me for couples or family therapy, I consider your relationship to be the client/patient. This Agreement is intended to provide [name of patient] and [name of patient] (herein “Patient”) with important information regarding the practices, policies and procedures of Lisa Locke, 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.