Lisa Zaffarese NCC LPC RPTOffice Policies and General Information Agreement • February 10th, 2017
Welcome to my practice. This document contains general information and policies. Please read it carefully. If you have any questions about the contents of this form, please do not hesitate to ask. References to “you” throughout this document may also refer to your child. Your signature will indicate your agreement to these policies.
OFFICE POLICIES AND GENERAL INFORMATION AGREEMENTOffice Policies and General Information Agreement • May 15th, 2021
Welcome to my practice. This document contains general information and policies. Please read it carefully. If you have any questions about the contents of this form, please do not hesitate to ask. References to “you” throughout this document may also refer to your child. Your signature will indicate your agreement to these policies.
OFFICE POLICIES AND GENERAL INFORMATION AGREEMENT FOR PSYCHOTHERAPY SERVICESOffice Policies and General Information Agreement • March 21st, 2008
This form provides you (patient) with information that is additional to that detailed in the Notice of Privacy Practices.
