Common Contracts
1 similar Psychologist-Client Service Agreement contracts
Peter Tolisano, Psy.D., LLC Board Certified in Clinical PsychologyPsychologist-Client Service Agreement • November 4th, 2020
My signature indicates that (1) I have read all the information in the Psychologist-Client Service Agreement and HIPAA Notice of Privacy Practices; (2) I fully understand the stated policies; (3) I consent to treatment; (4) I agree to abide by the terms outlined in this document during our professional relationship; (4) I have been offered a copy of this Agreement and HIPAA Notice for my records; and (5) that I have been offered the opportunity to ask questions about this document at the outset of treatment and in the future.
