Guardian Service Agreement for Therapy Sample Contracts

Guardian Service Agreement for Therapy
Guardian Service Agreement for Therapy • October 21st, 2021

Expectations: While there are no guaranteed outcomes in therapy, you can expect a safe environment that does not discriminate against age, sex, race, ethnic background, religion, disability, sexual orientation, or political affiliation. We strive to provide great treatment and, as part of providing the best service possible, you may receive email or phone contact(s) asking you about your experience. Unless otherwise indicated, your response will be shared with your therapist to help them improve their service to you. At any time, you may ask questions about your treatment, refuse to participate in specific tasks, or terminate services.

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Guardian Service Agreement for Therapy
Guardian Service Agreement for Therapy • October 21st, 2021

Your therapy services are provided by a student (Therapist Candidate) from Providence Theological Seminary. As part of the training, the therapy services provided will be completed under the supervision of Dr. Syras Derksen C.Psych, who will oversee all of the practicum activities and is ultimately responsible for all therapy services provided by the practicum student (Therapist Candidate). At any time you may request to see Dr. Derksen by calling 204-201-0751.

Guardian Service Agreement for Therapy
Guardian Service Agreement for Therapy • June 15th, 2022

Expectations: While there are no guaranteed outcomes in therapy, you can expect a safe environment that does not discriminate against age, sex, race, ethnic background, religion, disability, sexual orientation, or political affiliation. We strive to provide great treatment and, as part of providing the best service possible, you may receive email or phone contact(s) asking you about your experience. Unless otherwise indicated, your response will be shared with your therapist to help them improve their service to you. At any time, you may ask questions about your treatment, refuse to participate in specific tasks, or terminate services.

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