Common Contracts

2 similar null contracts

Licensed Marriage and Family Therapist #79098
March 18th, 2021
  • Filed
    March 18th, 2021

This Agreement is intended to provide [name of patient] (herein “Patient”) with important information regarding the practices, policies and procedures of Susan Valkenaar (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.

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Licensed Marriage and Family Therapist #79098
January 2nd, 2018
  • Filed
    January 2nd, 2018

This Agreement is intended to provide [name of patient] (herein “Patient”) with important information regarding the practices, policies and procedures of Susan Valkenaar (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.

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