Douglas W. Pullin, LCSW, LPC, LLC 19 SW Gibbs Street.Office Policies & General Information Agreement for Psychotherapy Services • January 10th, 2016
Contract Type FiledJanuary 10th, 2016CONFIDENTIALITY: All information disclosed within sessions and the written records pertaining to those sessions are confidential and may not be revealed to anyone without your (client’s) written permission, except where disclosure is required by law. Most of the provisions explaining when the law requires disclosure were described to you in the Professional Disclosure Statement that you received with this form.