Common Contracts
2 similar Outpatient Services Agreement contracts
OUTPATIENT SERVICES AGREEMENTOutpatient Services Agreement • May 21st, 2023
This OUTPATIENT SERVICES AGREEMENT (“Agreement”) is made by and between Tiffany Mehling, LCSW d/b/a Persist Psych, a sole proprietorship (the “Practice or Persist Psych”), Practice’s other clinical practitioners (the “Practitioner(s)”), and you (the “Patient”) of the Practice (individually, a “Party”, and collectively, the “Parties”), effective upon the date this Agreement is signed by the Patient.
OUTPATIENT SERVICES AGREEMENTOutpatient Services Agreement • July 31st, 2019
This OUTPATIENT SERVICES AGREEMENT (“Agreement”) is made by and between Tiffany Mehling, LCSW d/b/a Persist Psych, a sole proprietorship (the “Practice or Persist Psych”), Practice’s other clinical practitioners (the “Practitioner(s)”), and you (the “Patient”) of the Practice (individually, a “Party”, and collectively, the “Parties”), effective upon the date this Agreement is signed by the Patient.
