Common Contracts
1 similar null contracts
Martha Perez-Quintanilla, AMFT Associate Marriage Family Therapist #116547July 22nd, 2024
This Agreement is intended to provide [name of patient] (herein “Patient”) with important information regarding the practices, policies and procedures of Martha Perez-Quintanilla, Associate Marriage Family Therapist (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. The name of this practice is Campbell Teen & Family Therapy and the individual therapist that operates this practice is Ingrid Higgins, MFT (LMFT #43950). Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.
