Mental Health Services Agreement Sample Contracts

MENTAL HEALTH SERVICES AGREEMENT
Mental Health Services Agreement • January 7th, 2020 • Florida

THIS AGREEMENT, made and entered into this of 14th day of January, 2020 between the School Board of Gilchrist County, hereinafter referred to as “DISTRICT”; whose address is 310 NW 11th Avenue, Trenton Florida and Nina Mydek, whose address is 910 N.W. 107 Terrace, Gainesville, FL 32606, hereinafter referred to as the “THERAPIST”.

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MENTAL HEALTH SERVICES AGREEMENT
Mental Health Services Agreement • February 5th, 2021

This Agreement is entered into by and between CAC, hereinafter referred to as “CAC” and THERAPIST, referred to hereafter as the “Provider”.

COUNTY OF MONTEREY MENTAL HEALTH SERVICES AGREEMENT
Mental Health Services Agreement • June 18th, 2012 • California
Phone: 918-505-4367 | intake@legacycounselingservices.com | www.legacycounselingservices.com
Mental Health Services Agreement • March 1st, 2022

This document contains important information about Legacy Counseling Services, PLLC professional services and financial / business policies. While we know this is a lengthy document, it’s important that you read this carefully so you can make an educated decision about treatment and understand your rights and responsibilities as a client. You also need to understand the rights, responsibilities, and financial / business policies of Legacy Counseling Services, PLLC, as these will inform the professional services you agree to receive and pay for.

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