Common Contracts
3 similar null contracts
Agreement to and Informed Consent for Psychological Treatment and for Uses and Disclosures to Carry Out Treatment, Payment, and Health CareFebruary 22nd, 2021
This document contains important information about Dr. Gretchen Kubacky’s professional services and business policies. Please read it carefully. When you sign this document, it will represent an agreement between you and Dr. Gretchen Kubacky. Please refer to the Notice of Privacy Practices for important additional information.
Agreement to and Informed Consent for Psychological Treatment and for Uses and Disclosures to Carry Out Treatment, Payment, and Health CareFebruary 22nd, 2021
This document contains important information about Dr. Gretchen Kubacky’s professional services and business policies. Please read it carefully. When you sign this document, it will represent an agreement between you and Dr. Gretchen Kubacky. Please refer to the Notice of Privacy Practices for important additional information.
Agreement to and Informed Consent for Psychological Treatment and for Uses and Disclosures to Carry Out Treatment, Payment, and Health CareJune 30th, 2020
This document contains important information about Dr. Gretchen Kubacky’s professional services and business policies. Please read it carefully. When you sign this document, it will represent an agreement between you and Dr. Gretchen Kubacky. Please refer to the Notice of Privacy Practices for important additional information.
