Common Contracts
2 similar Agreement for Service / Informed Consent contracts
Licensed Marriage and Family Therapist #79098Agreement for Service / Informed Consent • 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.
Licensed Marriage and Family Therapist #79098Agreement for Service / Informed Consent • 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.
