PSYCHOTHERAPIST-PATIENT AGREEMENTPsychotherapist-Patient Agreement • September 8th, 2018 • California
Contract Type FiledSeptember 8th, 2018 JurisdictionThis Psychotherapist-Patient Agreement (“Agreement”) is made this date: _______________(“Effective Date”) by and between Kathryn de Bruin Family Therapy and Training, Inc., a California professional marriage and family therapy corporation (“KBFTT”) and __________________________________________________________ (“Patient”).