Common Contracts
1 similar Therapist / Client Services Agreement contracts
PAULA J. DETJEN, PLLC MA, LMFT, LPC Phone (507) 581-0430; Fax (507) 663-8849 Northfield Office Paula@DetjenCounseling.com Burnsville Office 105 E. Fourth St., Suite 301 www.DetjenCounseling.com 14041 Burnhaven Drive, Suite 145 Northfield, MN 55057...Therapist / Client Services Agreement • July 4th, 2019
This document contains important information about my professional services and business policies. It also contains your Client Rights and summary information about the Health Insurance Portability and Accountability Act (HIPPA) in the Notice of Privacy Practices. I am required by law to obtain your signature acknowledging that I have provided you with this information. When you sign this document, it will represent an agreement between us. This is your informed consent.
