SCOTT SYMINGTON, PH.D.Agreement and Consent to Receive Psychological Services • January 24th, 2020
This document contains important information about my professional services and business policies. The section on privacy practices describes how information about you may be used and disclosed and how you can get access to it. Please read it carefully. When you sign this document, it will represent an agreement between us regarding the psychological services and the privacy practices.
AGREEMENT AND CONSENT TO RECEIVE PSYCHOLOGICAL SERVICESAgreement and Consent to Receive Psychological Services • April 29th, 2017
This document contains important information about my professional services and business policies. Please review the following information carefully and ask me about anything you do not fully understand.
Agreement and Consent to Receive Psychological Services From Sibylle Georgianna, Ph.D., CEO of The Leadership Practice Psychological Consultations Inc. with Services Provided By Sexual Health of Orange County, CAAgreement and Consent to Receive Psychological Services • February 15th, 2023
This document contains important information about my (Sibylle Georgianna’s) professional services and business policies. The section on privacy practices describes how information about you may be used and disclosed and how you can get access to it. Please read it carefully. When you sign this document, it will represent an agreement between us regarding the psychological services and the privacy practices.
