AGREEMENT FOR SERVICE / INFORMED CONSENTService Agreement • May 24th, 2022
Contract Type FiledMay 24th, 2022Introduction: This Agreement is intended to provide (herein “Patient”) with important information about the practices and policies of Caitlin R. Burgess, JD, MA, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns about the contents of this Agreement should be discussed with Thera- pist prior to signing it.
AGREEMENT FOR SERVICE / INFORMED CONSENTService Agreement • April 18th, 2022
Contract Type FiledApril 18th, 2022Introduction: This Agreement is intended to provide (herein “Patient”) with important information about the practices and policies of Caitlin R. Burgess, JD, MA, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns about the contents of this Agreement should be discussed with Thera- pist prior to signing it.
AGREEMENT FOR SERVICE / INFORMED CONSENTService Agreement • March 23rd, 2022
Contract Type FiledMarch 23rd, 2022Introduction: This Agreement is intended to provide (herein “Patient”) with important information about the practices and policies of Caitlin R. Burgess, JD, MA, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns about the contents of this Agreement should be discussed with Thera- pist prior to signing it.
AGREEMENT FOR SERVICE / INFORMED CONSENTService Agreement • February 28th, 2022
Contract Type FiledFebruary 28th, 2022Introduction: This Agreement is intended to provide (herein “Patient”) with important information about the practices and policies of Caitlin R. Burgess, JD, MA, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns about the contents of this Agreement should be discussed with Thera- pist prior to signing it.