OUTPATIENT SERVICES AGREEMENT FOR COLLATERALSOutpatient Services Agreement for Collaterals • October 11th, 2023
Will Joel Friedman, Ph.D., PsychologistOutpatient Services Agreement for Collaterals • November 6th, 2020
You are participating in therapy because a spouse, member of your family, or a friend has asked you to be engaged in their therapy process. Your participation is important, and is sometimes essential, to the resolution of challenges. This document is to explain your rights and responsibilities, and the limits of your rights, in your role as a collateral in therapy.
Andrew Weissman, Psy.D., P.C. Clinical PsychologistOutpatient Services Agreement for Collaterals • September 22nd, 2016
You are participating in therapy because a spouse, member of your family, or a friend has asked you to be involved. Your participation is important, and is sometimes essential, to the resolution of problems. This document is to explain your rights and responsibilities, and the limits of your rights, in your role as a collateral in therapy.
COUNSELINGOutpatient Services Agreement for Collaterals • October 13th, 2020
A collateral is usually a spouse, family member, or friend, who participates in therapy to assist the identified patient. The collateral is not considered to be a client and is not the subject of the treatment. Social Workers have certain legal and ethical responsibilities to client, and the privacy of the relationship is given legal protection.
Dr. Morgan Francis, LPC, LLCOutpatient Services Agreement for Collaterals • June 23rd, 2017
OUTPATIENT SERVICES AGREEMENT FOR COLLATERALS Lorraine Saldivar, M.A., LPC #76703, LCDC #12433Outpatient Services Agreement for Collaterals • October 5th, 2018
Thank you for accepting the invitation to assist in the psychotherapeutic treatment of _______________________________ (client name) with Lorraine Saldivar, M.A. LPC, LCDC. 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 in therapy.
anna mccarthy, ph.d. licensed psychologist (# psy 22684) 1000 Quail Street, Suite 188 Newport Beach, CA 92660Outpatient Services Agreement for Collaterals • March 2nd, 2024
Bluffview CounselingOutpatient Services Agreement for Collaterals • May 9th, 2022
