OUTPATIENT SERVICES AGREEMENT FOR COLLATERALS Lorraine Saldivar, M.A., LPC #76703, LCDC #12433Outpatient Services Agreement • October 5th, 2018
Contract Type FiledOctober 5th, 2018Thank you for accepting the invitation to assist in the psychotherapeutic treatment of _______________________________ (client name) with Lorraine Saldivar, M.A. LPC, LCDC. Your participation is important, and is sometimes essential to the success of the treatment. This document is to inform you about the risks, rights and responsibilities of your participation as a collateral participant in therapy.