Disclosure Statement & Agreement for ServicesDisclosure Statement & Agreement for Services • January 24th, 2022
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask me any questions that you may have regarding its contents.
DISCLOSURE STATEMENT & AGREEMENT FOR SERVICESDisclosure Statement & Agreement for Services • March 10th, 2021
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions you may have regarding its contents.
DISCLOSURE STATEMENT & AGREEMENT FOR SERVICESDisclosure Statement & Agreement for Services • July 15th, 2024
Please Note: This document provides important information to you regarding your treat- ment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents. Please initial or sign where indicated.
DISCLOSURE STATEMENT & AGREEMENT FOR SERVICESDisclosure Statement & Agreement for Services • February 22nd, 2024
Introduction: This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
Jose’ FreemanDisclosure Statement & Agreement for Services • September 7th, 2012
This document is intended to provide important information to you regarding your therapy. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
Disclosure Statement & Agreement For ServicesDisclosure Statement & Agreement for Services • January 31st, 2022
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
Disclosure Statement & Agreement for ServicesDisclosure Statement & Agreement for Services • November 20th, 2010
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
Disclosure Statement & Agreement for ServicesDisclosure Statement & Agreement for Services • May 27th, 2021
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
Robin Bates-Pualuan, MS, LMFT, LPCCDisclosure Statement & Agreement for Services • November 10th, 2021
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
Disclosure Statement & Agreement For ServicesDisclosure Statement & Agreement for Services • January 7th, 2022
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
Disclosure Statement & Agreement For Services IntroductionDisclosure Statement & Agreement for Services • May 5th, 2016
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
Disclosure Statement & Agreement For ServicesDisclosure Statement & Agreement for Services • November 13th, 2020
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully, and be sure to ask your therapist any questions that you may have regarding its contents.
Disclosure Statement & Agreement for ServicesDisclosure Statement & Agreement for Services • June 30th, 2012
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to your therapist any questions you may have regarding its contents.
Disclosure Statement & Agreement for ServicesDisclosure Statement & Agreement for Services • February 2nd, 2018
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and complete the required sections. Be sure to ask your therapist any questions that you may have regarding its contents.
Disclosure Statement & Agreement for ServicesDisclosure Statement & Agreement for Services • September 7th, 2012
This document is intended to provide important information to you regarding your therapy. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
Disclosure Statement & Agreement for ServicesDisclosure Statement & Agreement for Services • August 26th, 2010
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
