AGREEMENT FOR SERVICE / INFORMED CONSENTAgreement for Service / Informed • August 12th, 2017
Contract Type FiledAugust 12th, 2017This 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.
AGREEMENT FOR SERVICE / INFORMED CONSENTAgreement for Service / Informed • February 24th, 2022
Contract Type FiledFebruary 24th, 2022This 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 CONSENTAgreement for Service / Informed • December 28th, 2022
Contract Type FiledDecember 28th, 2022This 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 CONSENTAgreement for Service / Informed • July 16th, 2024
Contract Type FiledJuly 16th, 2024This 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 CONSENTAgreement for Service / Informed • December 31st, 2020
Contract Type FiledDecember 31st, 2020This 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 CONSENTAgreement for Service / Informed • December 29th, 2023
Contract Type FiledDecember 29th, 2023This 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.