Common Contracts

1 similar Consent and Confidentiality Agreement contracts

CLIENT INFORMED CONSENT AND CONFIDENTIALITY AGREEMENT
Consent and Confidentiality Agreement • September 17th, 2014

Services provided by Brian Stagg, LEP, BCBA are voluntary and may be discontinued at any time. The services provided may include, but are not limited to: psycho-educational assessments, ADHD evaluations, behavior consultations, functional behavior assessments, and learning evaluations (i.e., reading, writing, and math and memory).

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