AGREEMENTTherapeutic Services Agreement • June 2nd, 2015 • New Jersey
School Solutions, LLC which has offices located at 24 Deforest Ave, Suite 310, Summit, New Jersey 07901 (hereinafter referred to as “Effective School Solutions”), and the Brick Township Board of Education, which has offices located at 10 Hendrickson Ave, Brick, NJ 08724 (hereinafter referred to as the “Board of Education”) (sometimes hereinafter, collectively, “the parties”).
INTRODUCTION:Therapeutic Services Agreement • August 7th, 2023
This agreement has been created for the purpose of outlining the terms and conditions of services to be provided by your child’s clinician, Laura Wakil, M.D. and is intended to provide important information regarding the practices, policies and procedures of clinician’s practice and to clarify the terms of the professional therapeutic relationship between Provider and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with the clinician prior to signing it.
Contract for parents/carers of children and young people who are being seen by a trainee CBT (Cognitive Behavioural Therapy) therapistTherapeutic Services Agreement • March 12th, 2021
The following is an agreement between the trainee therapist, Parenting 2000 and the parent/carer of a child/young person client.
ADOLESCENT SEXUAL BEHAVIOR THERAPYTherapeutic Services Agreement • February 28th, 2013
This agreement is entered into by and between El Paso County, on behalf of the Juvenile Probation Department, hereinafter known as "JPD" and The Family Empowerment Center, hereinafter known as "Contractor" to provide therapeutic services.
AGREEMENTTherapeutic Services Agreement • February 7th, 2020
School Solutions, LLC which has offices located at 121 Chanlon Road, Suite 310, New Providence, NJ 07974 (hereinafter referred to as “Effective School Solutions”), and the Franklin Township Board of Education, which has offices located at 1755 Amwell Rd Somerset, NJ 08873 (hereinafter referred to as the “Board of Education”) (sometimes hereinafter, collectively, “the parties”).
Agreement for Therapeutic ServicesTherapeutic Services Agreement • July 12th, 2021
• Parents are asked to be on time for therapy appointments. When occasional circumstances arise that prevent this, parents are asked to inform CTS of the problem and estimated time of arrival.
AGREEMENTTherapeutic Services Agreement • November 11th, 2021 • New Jersey
WHEREAS, Effective School Solutions provides therapeutic mental health services through licensed professionals to students in public school districts; and
ContractTherapeutic Services Agreement • April 8th, 2021
Welcome to my practice. This document (the Agreement) contains important information about my professional services and business policies. My goal is to present relevant information in a clear manner so that you may enter the therapeutic relationship with a good understanding of many aspects of psychological services. This agreement also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides new privacy protections and new 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. The Notice, which is attached to this Agreement, explains HIPAA and its application to your personal health information in greater detail. The law requires that I obtain your signature acknowledging that I have provided you with this information at or before the end of the first meeting. Although these documents are long and somet
ContractTherapeutic Services Agreement • August 5th, 2020
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 (HIPAA), a federal law that provides privacy protections and patient rights with regard to the use and disclosure of your Protected Health Information (PHI). HIPAA requires us to provide you with a Notice of Privacy Practices (the Notice) for use and disclosure of PHI for treatment, payment, and health care operations. The Notice, which is attached, explains HIPAA and its application to your personal health information in greater detail. The law requires that we obtain your signature acknowledging that you have been provided with this information before we can provide services. Although these documents are long and sometimes complex, it is very important that you read them carefully before our initial session. We can discuss any questions you have about the procedures at tha
AGREEMENTTherapeutic Services Agreement • July 20th, 2023
This Agreement made this day of , 2023 between Effective School Solutions, LLC which has offices located at 121 Chanlon Road, Suite 310, New Providence, NJ 07974 (hereinafter referred to as “Effective School Solutions” or “ESS”), and the Union Township Board of Education, which has offices located at 2369 Morris Ave Union, NJ 07083 (hereinafter referred to as the “Board of Education” or “Board”) (sometimes hereinafter, collectively, “the parties”).
