SEVITAR OFFICE POLICIES AND GENERAL INFORMATION, EVALUATION AND TREATMENT AGREEMENTEvaluation and Treatment Agreement • January 29th, 2024
Contract Type FiledJanuary 29th, 2024This form provides you (the client) with information that is additional to that detailed in the Notice of Privacy Practices and it is subject to HIPAA pre-emptive analysis.
REBECCA M. CRABB, Ph.D.Evaluation and Treatment Agreement • August 6th, 2017
Contract Type FiledAugust 6th, 2017Welcome! This document contains important information about the professional services and business policies of Rebecca M. Crabb, Ph.D. Please read this document carefully and ask me any questions that you have before signing.
SEVITAR OFFICE POLICIES AND GENERAL INFORMATION, EVALUATION AND TREATMENT AGREEMENTEvaluation and Treatment Agreement • September 5th, 2024
Contract Type FiledSeptember 5th, 2024This form provides you (the client) with information that is additional to that detailed in the Notice of Privacy Practices and it is subject to HIPAA pre-emptive analysis.
Evaluation and Treatment AgreementEvaluation and Treatment Agreement • February 21st, 2018
Contract Type FiledFebruary 21st, 2018This document contains important information about the professional services and business policies of Hannah Bosley, M.A., and Dr. Jacqueline B. Persons and the Oakland Cognitive Behavior Therapy Center. Please read it carefully and discuss any questions you have with Ms. Bosley or Dr. Persons.
Evaluation and Treatment AgreementEvaluation and Treatment Agreement • May 1st, 2014
Contract Type FiledMay 1st, 2014This document contains important information about the professional services and business policies of Janie J. Hong, Ph.D. and the Cognitive Behavior Therapy (CBT) and Science Center. Please read it carefully and discuss any questions you have with Dr. Hong.