Psychological Services AgreementPsychological Services Agreement • July 25th, 2018
The purpose of this document is to provide you with an outline of the services we have agreed upon, which is required prior to receiving the services of a Registered Psychologist.
PSYCHOLOGICAL SERVICES AGREEMENTPsychological Services Agreement • December 6th, 2020
Welcome to my practice! Please review and complete these forms and bring any questions to your first appointment. When you sign this document, it will represent an agreement between us.
PSYCHOLOGICAL SERVICES AGREEMENTPsychological Services Agreement • June 29th, 2018
This document contains important information about the professional services and business policies of Alison Jones, Ph.D., Licensed Clinical Psychologist. I am an independent practitioner and am not associated with or in business with any other practitioner in this location. Please read the information below carefully and feel free to discuss any questions you have.
PSYCHOLOGICAL SERVICES AGREEMENTPsychological Services Agreement • November 23rd, 2020
This document contains important information about the professional services and business policies of David Shoup, Ph.D., Licensed Clinical Psychologist. I am an independent practitioner and am not associated with, or in business with, any other practitioner in this location. Please read the information below carefully and feel free to discuss any questions you have.
PSYCHOLOGICAL SERVICES AGREEMENTPsychological Services Agreement • January 27th, 2022
This document contains important information about the professional services and business policies of David Shoup, Ph.D., Licensed Clinical Psychologist. I am an independent practitioner and am not associated with, or in business with, any other practitioner in this location. Please read the information below carefully and feel free to discuss any questions you have with me.
Purchasing DivisionPsychological Services Agreement • December 31st, 2014
PSYCHOLOGICAL SERVICES AGREEMENTPsychological Services Agreement • September 10th, 2018
Welcome to New Hope Christian Counseling, LLC (NHCC, LLC). This document contains important information about professional services and business policies. Psychological services are governed by various laws and regulations and by the code of ethics of the psychology profession. The ethics code requires that you are made aware of specific office policies and procedures and how they may affect you. Please read this document carefully and take note of any questions you might have before our first meeting so that we may discuss them together. When you sign this document, it will represent an agreement between us.
PSYCHOLOGICAL SERVICES AGREEMENT Policies and ProceduresPsychological Services Agreement • August 1st, 2023
This Agreement contains important information about my professional services and business policies. Please review it, note any questions you might have, and we will discuss them further during intake.
PSYCHOLOGICAL HEALTH AFFILIATESPsychological Services Agreement • May 31st, 2021
Hello, and welcome to our practice. This document (the Agreement) contains important information about our professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act of 1996 (HIPAA), a new federal law that mandates various privacy protections and patient rights with regard to the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment, and health care operations. Please refer to the Notice of Privacy Practices (NPP), which accompanies this document, for a more detailed summary of your rights under HIPAA.
PSYCHOLOGICAL SERVICES AGREEMENTPsychological Services Agreement • August 9th, 2020
Dr. Kate Aubrey completed her Ph.D. in Clinical Psychology at Dalhousie University in 2013. She has extensive training in clinical psychology and works with children, adolescents, and adults. Her strengths-based and interactive approach to psychotherapy draws from a variety of theoretical perspectives, including cognitive-behavioural, interpersonal, and problem-focused models. Dr. Aubrey works collaboratively with her clients to develop an integrated approach to treatment that is tailored to the particular goals and interests of her clients. She also conducts assessments with youth and adults who are struggling to meet the demands of school or work.
PSYCHOLOGICAL SERVICES AGREEMENTPsychological Services Agreement • September 18th, 2014
Welcome to Maplewood Psychology P.A. This document contains important information about our professional services and business policies. Please read it carefully and jot down any questions you might have so that you can discuss them at your next meeting. When you sign this document, it will represent an agreement between you, your Therapist and Maplewood Psychology P.A.
Psychological Services AgreementPsychological Services Agreement • October 6th, 2016
PSYCHOLOGICAL SERVICES AGREEMENTPsychological Services Agreement • August 12th, 2018
ContractPsychological Services Agreement • September 22nd, 2020
PSYCHOLOGICAL SERVICES AGREEMENTPsychological Services Agreement • July 14th, 2015
This document and its attachments represent a contract between the patient, the patient’s parent/legal guardian, and me, the service provider. Please review this document and the attachments (Privacy Notice, Consent Form) and ask any questions you may have before you sign it. This document explains your patient rights and responsibilities so please review it carefully.
