Common Contracts
1 similar null contracts
Jewell Counseling Services, P.C., Privacy Notice & Consent to TreatmentNovember 7th, 2020
This notice describes how information about you may be used and disclosed and how you can get access to some of this information. Please read it carefully. This form serves as an agreement between you, and me/us Jewell Counseling Services, P.C. When the word “you” is used in this form, it will mean your child, relative, or other person if you have written his or her name here .
