Bonnie Zucker, Psy.D.Outpatient Service Agreement • November 26th, 2013
Contract Type FiledNovember 26th, 2013Welcome to my practice! This document (the Agreement) will provide you with information about my practice, office policies, and procedures. Signing this document will represent an agreement between us. You may revoke this Agreement in writing at any time.
OUTPATIENT SERVICE AGREEMENT AND CONSENT FOR COLLATERALSOutpatient Service Agreement • January 9th, 2023
Contract Type FiledJanuary 9th, 2023
OUTPATIENT SERVICE AGREEMENT AND CONSENT FOR COLLATERALSOutpatient Service Agreement • March 29th, 2019
Contract Type FiledMarch 29th, 2019We would like to thank you for accepting the invitation to assist in ‘(s) psychotherapeutic treatment. Your participation is important, and is sometimes essential to the success of the treatment. This document is to inform you about the risks, rights and responsibilities of your participation as a collateral participant.