Informed Consent/Agreement to Psychotherapy Services Sample Contracts
QUO VADIS THERAPY CENTER, LLC JOSEPH W. PRIBYL, M. A.Informed Consent & Agreement to Psychotherapy Services • February 12th, 2009
Welcome to Quo Vadis Therapy Center, LLC. This document contains important information about the professional services and business policies of Quo Vadis Therapy Center. It also contains information about policies and practices to protect the privacy of your health information. Please read it carefully and discuss any questions you may have with me. When you sign this document, you will be stating that I provided you with this information and it will represent an agreement between us and that you understand the handling of your protected health information.
Standard Contracts
Quo Vadis Therapy Center, LLC Joseph W. Pribyl, M. A.Informed Consent/Agreement to Psychotherapy Services • December 16th, 2008
Welcome to the Quo Vadis Therapy Center, LLC. This document contains important information about the professional services and business policies of Quo Vadis Therapy Center. It also contains information about policies and practices to protect the privacy of your health information. Please read it carefully and discuss any questions you may have with me. When you sign this document, you will be stating that I provided you with this information and it will represent an agreement between us and that you understand the handling of your protected health information.
