Informed Consent & Agreement for Services Sample Contracts

Counseling to Inspire
Informed Consent & Agreement for Services • March 18th, 2022
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INFORMED CONSENT & AGREEMENT FOR SERVICES
Informed Consent & Agreement for Services • February 10th, 2022

Welcome to Therapy and Mindfulness Practices, LLC. Meghan Renzi, LCSW-C, RYT-200 received her Master’s degree in Social Work from University of Maryland, Baltimore. Meghan is a licensed clinical social worker (LCSW-C) with the state of Maryland. Meghan has worked in the mental health field for the past 10 years. As a social worker, she has experience in addiction treatment, inpatient psychiatric care, partial hospitalization and in the outpatient therapy setting treating children, adolescents, and adults. Meghan is a strengths-based therapist who believes in a holistic approach to therapy that includes facilitating a mind and body connection. Meghan utilizes cognitive behavioral therapy techniques, while teaching distress tolerance tools and healthy ways to cope with uncomfortable feelings.

Informed Consent & Agreement For Services
Informed Consent & Agreement for Services • January 31st, 2022

My therapist may call me or leave messages at my home. My therapist may call me or leave messages at work. My therapist may call me or leave messages on my cell phone. My therapist may call me or leave messages on my other phone. My therapist may communicate with me by email. My therapist may send faxes to me. My therapist may send mail to me at my home address. My therapist may send mail to me at my work address.

Informed Consent & Agreement For Services
Informed Consent & Agreement for Services • January 4th, 2021

My therapist may call me or leave messages at my home. My therapist may call me or leave messages at work. My therapist may call me or leave messages on my cellphone. My therapist may communicate with me by email. My therapist may communicate with me by email. My therapist may send faxes to me. My therapist may send mail to me at my work address.

Informed Consent & Agreement for Services
Informed Consent & Agreement for Services • July 6th, 2020

This document is intended to provide you important information regarding your treatment. Please read it entirely and carefully and be sure to ask me any questions you may have regarding its contents.

Welcome to my practice. This Informed Consent & Agreement for Services contains important information about my professional services and policies. Please read the entire document carefully and ask any questions you have regarding its contents.
Informed Consent & Agreement for Services • December 28th, 2023

Prior to beginning treatment, I will discuss my professional background and provide you with information regarding my experience, education, special interests, and professional orientation.

INFORMED CONSENT & AGREEMENT FOR SERVICES
Informed Consent & Agreement for Services • August 20th, 2021

Welcome! Meghan Renzi, LCSW-C, RYT-200 received her Master’s degree in Social Work from University of Maryland, Baltimore in 2008. Meghan is a licensed certified social worker, clinical (LCSW-C) with the state of Maryland. As a social worker, Meghan has experience in substance abuse treatment, inpatient psychiatric care, partial hospitalization and in the outpatient therapy setting. Meghan utilizes a cognitive behavioral approach.

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