DOB: (MM/ DD / YYYY) Client ID: Date of Service: (MM/ DD / YYYY)Service Agreement • July 1st, 2016
Contract Type FiledJuly 1st, 2016This Agreement describes basic information about Sweetser Services--what you can expect from a staff person; what is expected of you by Sweetser when you choose to receive services; billing and insurance requirements. Please review this with the staff person and be sure that all of your questions are answered fully.
DOB: (MM/ DD / YYYY) Client ID: Date of Service: (MM/ DD / YYYY)Service Agreement • July 1st, 2016
Contract Type FiledJuly 1st, 2016This Agreement describes basic information about Sweetser Services--what you can expect from a staff person; what is expected of you by Sweetser when you choose to receive services; billing and insurance requirements. Please review this with the staff person and be sure that all of your questions are answered fully.