DISCLOSURE STATEMENT & AGREEMENT FOR SERVICESDisclosure Statement & Agreement for Services • July 15th, 2024
Contract Type FiledJuly 15th, 2024Please Note: This document provides important information to you regarding your treat- ment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents. Please initial or sign where indicated.
DISCLOSURE STATEMENT & AGREEMENT FOR SERVICESDisclosure Statement & Agreement for Services • April 14th, 2024
Contract Type FiledApril 14th, 2024Please Note: This document provides important information to you regarding your treat- ment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents. Please initial or sign where indicated.