Common Contracts

2 similar Telehealth Counseling Agreement contracts

Rhoberta E Michaels LPC NCC CFRC/Peace & Light Psychotherapy LLC
Telehealth Counseling Agreement • April 15th, 2022

The purpose of this form is to obtain your consent to participate in telemental health, which involves counseling by phone, video, or secure online email portal.

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Your Name Your Address, City, State Phone Number
Telehealth Counseling Agreement • April 24th, 2020

The purpose of this form is to obtain your consent to participate in telemental health, which involves counseling by phone, video, or secure online email portal.

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