CLIENT-CLINICIAN AGREEMENTClient-Clinician Agreement • April 3rd, 2021
CONFIDENTIALITY: All information disclosed within sessions and the written records pertaining to those sessions are confidential and may not be revealed to anyone without your written permission, except where disclosure is required by law.
Client-Clinician AgreementClient-Clinician Agreement • September 8th, 2020
Welcome to Greenleaf Psychological & Support Services (GPSS)! We look forward to working with you toward achieving your goals. GPSS is owned and operated by a Licensed Psychologist, Dr. Barbara Lowe. Our team of qualified Clinicians offers a variety of psychological and behavioral health services designed to meet your specific goals and needs.
ContractClient-Clinician Agreement • August 24th, 2017
This agreement serves as an addendum to the Client-Clinician Agreement in place between existing clients of GPSS and their GPSS clinician(s), when teletherapy services are requested. All rights, responsibilities and privileges discussed in the Client-Clinician Agreement remain in force for services conducted using teletherapy.
CLIENT-CLINICIAN AGREEMENTClient-Clinician Agreement • May 11th, 2016
CONFIDENTIALITY: All information disclosed within sessions and the written records pertaining to those sessions are confidential and may not be revealed to anyone without your written permission, except where disclosure is required by law.
Client-Clinician Agreement: TelepsychologyClient-Clinician Agreement • August 22nd, 2019
This Informed Consent for Telepsychology contains important information focusing on doing psychotherapy using the Internet. It is an addendum to the Client-Clinician Agreement in place between existing clients of CPA and their CPA clinician, when telepsychology services are requested. All rights, responsibilities and privileges discussed in the Client-Clinician Agreement remain in force for services conducted using telepsychology. Please read this carefully and let your therapist know if you have any questions. When you and your therapist sign this document, it will represent an agreement between each of you.
CLIENT-CLINICIAN AGREEMENTClient-Clinician Agreement • September 7th, 2016
CONFIDENTIALITY: All information disclosed within sessions and the written records per- taining to those sessions are confidential and may not be revealed to anyone without your written permission, except where disclosure is required by law.
CLIENT-CLINICIAN AGREEMENTClient-Clinician Agreement • April 29th, 2016
Confidentiality: All information disclosed within sessions and the written records pertaining to those sessions are confidential and may not be revealed to anyone without your written permission, except where disclosure is required by law.
Insight Counseling Professionals, PLLCClient-Clinician Agreement • February 12th, 2021
