Common Contracts
1 similar Informed Consent Agreement for Treatment of Minor contracts
INFORMED CONSENT AGREEMENT FOR TREATMENT OF MINORInformed Consent Agreement for Treatment of Minor • April 7th, 2017 • Virginia
This Agreement is made and entered effective this day of 20 (“Effective Date”) by and between Healing Together, PLC (“Healing Together”), a Virginia Professional Limited Liability Company, and the parent or guardian whose signature is contained in the signature line at the end of this agreement (the “Client”), acting on behalf of the minor child (“Minor”). NOW, THEREFORE, IN CONSIDERATION of the mutual covenants and promises of the parties hereto, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows:
