AGREEMENT FOR SERVICE / INFORMED CONSENTService Agreement • April 10th, 2023
Contract Type FiledApril 10th, 2023This Agreement is intended to provide [name of patient] (herein “Patient”) with important information regarding the practices, polices and procedures of David Barry (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.
AGREEMENT FOR SERVICE / INFORMED CONSENT FOR COUPLES THERAPYService Agreement • December 25th, 2022
Contract Type FiledDecember 25th, 2022This Agreement is intended to provide [name of patients] (herein “Patient”) with important information regarding the practices, polices and procedures of David Barry (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.