Common Contracts
1 similar null contracts
AGREEMENT FOR SERVICE / INFORMED CONSENT FOR MINORSOctober 5th, 2016
This Agreement has been created for the purpose of outlining the terms and conditions of services to be provided by Christopher M. Mayer, LMFT for minors (persons 14-17 years of age) seeking therapeutic treatment on their own accord. Therapists generally require the consent of both parents / legal guardians prior to providing any services to a minor or child. However, it is also understood that on occasion minors who are 14-17 years of age may seek treatment on their own for various reasons, and hold the legal right to do so without the consent of their parent(s)/guardian(s). This form is for minors who are consenting to their own treatment under such circumstances. All clients will be asked for proof of their age (two forms of ID are required and one must be a photo ID).
