Client Informed Consent and Disclosure Statement Agreement for Services Sample Contracts

CLIENT INFORMED CONSENT AND DISCLOSURE STATEMENT AGREEMENT FOR SERVICES
Client Informed Consent and Disclosure Statement Agreement for Services • June 7th, 2020

As we begin our counseling relationship, it is important that you understand the services I offer, my approach to the counseling relationship, risks and benefits of our work together, your rights as a client, and standard office policies and procedures. Please read this information carefully and let me know if there is any part you do not understand. As I share my skills and expertise to support your goals for change, I understand that I am merely a resource for you as you take responsibility for your growth and well-being.

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CLIENT INFORMED CONSENT AND DISCLOSURESTATEMENT AGREEMENT FOR SERVICES
Client Informed Consent and Disclosure Statement Agreement for Services • April 19th, 2017
THREE ARMS ENERGY BALANCING, LMSW, PLLC
Client Informed Consent and Disclosure Statement Agreement for Services • January 8th, 2018

Welcome! Thank you for your interest in working with me as a client. I am providing you with the following information so you can make an informed choice about your decision to have sessions with me. Please read this information carefully and let me know if there is any part you do not understand.

CLIENT INFORMED CONSENT AND DISCLOSURE STATEMENT AGREEMENT FOR SERVICES
Client Informed Consent and Disclosure Statement Agreement for Services • May 19th, 2020

Thank you for your interest in working with Kristen Helms, LCSW (“Kristen”) as a client. Kristen Helms, LCSW and Honest Counseling Solutions, LLC is providing you with the following information so you can make an informed choice about your decision to engage in services. Please read this information carefully and let me know if there is any part you do not understand.

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