Outpatient Service Agreement Sample Contracts

Bonnie Zucker, Psy.D.
Outpatient Service Agreement • November 26th, 2013

Welcome 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.

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OUTPATIENT SERVICE AGREEMENT AND CONSENT FOR COLLATERALS
Outpatient Service Agreement • July 28th, 2020
OUTPATIENT SERVICE AGREEMENT AND CONSENT FOR COLLATERALS
Outpatient Service Agreement • March 29th, 2019

We 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.

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