Agreement for Service / Informed Sample Contracts

AGREEMENT FOR SERVICE / INFORMED CONSENT
Agreement for Service / Informed • August 12th, 2017

This Agreement is intended to provide (herein “Client”) with important information regarding the practices, policies and procedures of Katherine Holt Jewett, MA LMFT (herein “Therapist) and to clarify the terms of the professional therapeutic relationship between Therapist and Client prior to beginning therapy.

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AGREEMENT FOR SERVICE / INFORMED CONSENT
Agreement for Service / Informed • February 24th, 2022

This Agreement is intended to provide (herein “Patient”) with important information regarding the practices, polices and procedures of Deborah Moyer, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.

AGREEMENT FOR SERVICE / INFORMED CONSENT
Agreement for Service / Informed • December 28th, 2022

This Agreement is intended to provide (herein “Patient”) with important information regarding the practices, policies and procedures of Deborah Moyer, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.

AGREEMENT FOR SERVICE / INFORMED CONSENT
Agreement for Service / Informed • July 16th, 2024

This Agreement is intended to provide (herein “Patient”) with important information regarding the practices, polices and procedures of Deborah Moyer, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.

AGREEMENT FOR SERVICE / INFORMED CONSENT
Agreement for Service / Informed • December 31st, 2020

This Agreement is intended to provide (herein “Patient”) with important information regarding the practices, polices and procedures of Deborah Moyer, LMFT (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.

AGREEMENT FOR SERVICE / INFORMED CONSENT
Agreement for Service / Informed • December 29th, 2023

This Agreement is intended to provide (herein “Client”) with important information regarding the practices, policies and procedures of Deborah Moyer, LMFT (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.

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