INFORMED CONSENT AND AGREEMENTInformed Consent and Agreement • May 9th, 2022
We believe that the therapeutic process can be one of the most challenging and the most rewarding endeavors anyone can take. Those involved in therapy can begin to better understand their own life as well as their relationships with other people. Therapy can provide an opportunity for an individual or a couple to set aside time to focus on the issues prevalent in their lives, and to actively begin to communicate desires, goals, and dreams to one's self as well as to one another.
Informed Consent and AgreementInformed Consent and Agreement • October 14th, 2021
Our doctors have recommended the Invisalign system for your orthodontic treatment. Although orthodontic treatment can lead to a healthier and more attractive smile, you should also be aware that any orthodontic treatment, (including orthodontic treatment with Invisalign aligners), has limitations and potential risks that you should consider before undergoing treatment.
INFORMED CONSENT AND AGREEMENTInformed Consent and Agreement • March 11th, 2022
Age (as at time of completing this form) – those under the age of 18 are required to have a parent or guardian view and sign this form:
Informed Consent and AgreementInformed Consent and Agreement • May 15th, 2018
Welcome to Lighted Path Therapy Services! I look forward to working with you and/or your family to help you meet your goals. This informed consent is to inform you of the expectations for services and the therapist’s qualifications.
Informed Consent and AgreementInformed Consent and Agreement • November 2nd, 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 any questions that you may have regarding its contents. By signing this document, you are agreeing that you understand the content to follow. This documents an agreement between you and Wise Mind Counseling and the services that you will be provided. Thisagreement contains information regarding Health Insurance Portability and Accountability Act (HIPAA) and a disclosure regarding your protected health information (PHI). Although it can be uncomfortable, it is very important that you ask any questions before signing so that you are comfortable with this agreement.Welcome to Wise Mind Counseling! What is Therapy and how does it work? Counseling is a process that may take many forms. The process is individualized and tailored between you and your therapist. In counseling, you will discuss a wide array of issues, events, experiences and me
TNT Inc. Informed Consent and AgreementInformed Consent and Agreement • November 5th, 2021
ContractInformed Consent and Agreement • January 13th, 2021
Individual Counseling/Psychotherapy Informed Consent and AgreementInformed Consent and Agreement • August 3rd, 2012
This document contains important information about my professional services and business policies. Please read it carefully and jot down any questions you might have so that we can discuss them at our next meeting. When you sign this document, it will represent an agreement between us. You must sign the document in two places: one relating to your agreement to participate in and your understanding of Individual Psychotherapy and one relating to confidentiality, business policies and intake information. It is important for you to know that I welcome all your questions.
INFORMED CONSENT AND AGREEMENTInformed Consent and Agreement • February 28th, 2011
We believe that the therapeutic process can be one of the most challenging and the most rewarding endeavors anyone can take. Those involved in therapy can begin to better understand their own life as well as their relationships with other people. Therapy can provide an opportunity for an individual or a couple to set aside time to focus on the issues prevalent in their lives, and to actively begin to communicate desires, goals, and dreams to one's self as well as to one another.
Invisalign® Informed Consent and AgreementInformed Consent and Agreement • July 27th, 2024
Your doctor has recommended the Invisalign system for your orthodontic treatment. Although orthodontic treatment can lead to a healthier and more attractive smile, you should also be aware that any orthodontic treatment (including orthodontic treatment with Invisalign aligners) has limitations and potential risks that you should consider before undergoing treatment.
INFORMED CONSENT and AGREEMENTInformed Consent and Agreement • March 6th, 2023
Welcome to my practice. This document contains important information about my professional services and business policies. When you sign this document, it will represent an agreement between us.
ClearCorrect Informed Consent and AgreementInformed Consent and Agreement • September 8th, 2016
Successful orthodontic treatment is a partnership between the doctor and the patient. The doctor and staff are dedicated to achieving the best possible result for each patient. As a general rule, informed and cooperative patients can achieve positive orthodontic results. While recognizing the benefits of a beautiful healthy smile, you should also be aware that, as with all healing arts, orthodontic treatment has limitations and potential risks. These are seldom serious enough to indicate that you should not have treatment; however, all patients should consider the option of no treatment at all by accepting their present oral condition. You should also ensure that you have discussed all orthodontic alternatives available to you with the doctor prior to beginning treatment.
Informed Consent and AgreementInformed Consent and Agreement • January 9th, 2020
Informed Consent and Agreement This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask any questions that you may have regarding its contents. By signing this document, you are agreeing that you understand the content to follow. This documents an agreement between you and Wise Mind Counseling and the services that you will be provided. This agreement contains information regarding Health Insurance Portability and Accountability Act (HIPPA) and a disclosure regarding your protected health information (PHI). Although it can be uncomfortable, it is very important that you ask any questions before signing so that you are comfortable with this agreement.Welcome to Wise Mind Counseling! What is therapy and how does it work? Counseling is a process that may take many forms. The process is individualized and tailored between you and your therapist. In counseling, you will discuss a wide array of is
Informed Consent and Agreement for the ClearPath PatientInformed Consent and Agreement • September 3rd, 2016
Your doctor has recommended the ClearPath system® for your orthodontic treatment. Although orthodontic treatment can lead to healthy teeth and provide important benefits, such as an attractive smile, you should also be aware that orthodontic treatment (including orthodontic treatment with ClearPath aligners) has limitations and potential risks that you should consider before undergoing treatment.
