Common Contracts
1 similar Agreement for Service / Informed Consent contracts
Rochelle (Shelley) Bloom, M.A., LMFT, ATR-BC Licensed Marriage and Family Therapist LMFT #49431 Board Certified Art Therapist #09-042Agreement for Service / Informed Consent • February 20th, 2022
This Agreement is intended to provide [name of client] (herein “client”) with important information regarding the practices, policies and procedures of Rochelle Bloom, LMFT, ATR-BC (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Client. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.
