Licensed Marriage and Family Therapist #79098March 18th, 2021
FiledMarch 18th, 2021This 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.
Licensed Marriage and Family Therapist #79098January 2nd, 2018
FiledJanuary 2nd, 2018This 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.