Informed Consent/Client Agreement Sample Contracts

Informed Consent / Client Agreement
Informed Consent / Client Agreement • July 16th, 2020

Read each item below and sign if you understand and agree to follow your provider’s instructions. A parent of guardian of a client under age 18 must also read and understand each item before signing the agreement.

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Nina Chaifetz, LCSW
Informed Consent-Client Agreement • January 28th, 2022
Informed Consent & Client Agreement Zanda Hilger, LPC ♦ (817) 756-6460
Informed Consent & Client Agreement • November 24th, 2020

Overview: This document is an agreement that provides information about your role as the client and my responsibilities as a counselor.

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