Common Contracts
1 similar null contracts
AGREEMENT FOR SERVICE / INFORMED CONSENTMay 5th, 2016
This Agreement is intended to provide [name of patient] (herein “Patient”) with important information regarding the practices, policies and procedures of Dr. Mariam Esfahani (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.
