AGREEMENT FOR SERVICE/INFORMED CONSENT: MINORTherapy Contract • September 29th, 2020
Welcome! It is a pleasure to have you as a Client. We strive to make sure your treatment will be as therapeutically productive as possible. The specifics of the treatment goals and the steps to achieve these goals will be discussed at the Intake Appointment. Your participation and understanding of the treatment goals is essential for the best benefit of therapy.
THERAPY CONTRACT, POLICIES & FINANCIAL AGREEMENTTherapy Contract • August 12th, 2018
I, , hereby give my full consent for my child, , or myself, to receive speech and language therapy and treatment provided by Lori A. Gross, Speech and Language Pathol- ogist, until I notify Ms. Gross of any changes or until Ms. Gross determines that services are no longer necessary. If I am referring my child for services, I certify that I have legal responsibility for this child and am authorized to seek treatment for him or her.
AGREEMENT FOR SERVICE/INFORMED CONSENT: ADULTTherapy Contract • November 5th, 2021
Welcome! It is a pleasure to have you as a Client. We strive to make sure your treatment will be as therapeutically productive as possible. The specifics of the treatment goals and the steps to achieve these goals will be discussed at the Intake Appointment. Your participation and understanding of the treatment goals is essential for the best benefit of therapy.
Therapy contractTherapy Contract • March 26th, 2024
and Institutsambulanz des DGVT Aus- und Weiterbildungszentrums Erlangen-Nürnberg GmbH represented by the Institute Management
Therapy ContractTherapy Contract • September 13th, 2021
Aim of Therapy: The aim of therapy is to provide you, the client with a confidential opportunity to explore personal and relational issues in safety. My role, as the therapist is to help you through this process without judgement or telling you what to do. I will however give information or offer suggestions. During therapy, we set goals to work towards as agreed between the client and the therapist. If at any time I feel I can no longer help you I will offer to recommend you to someone who can.
Therapy Expert Therapy ContractTherapy Contract • December 10th, 2019
Dear Parent,Therapy Contract • January 20th, 2015
Thank you for entrusting us with the care of your child. KTZ assures you that we will put forth maximum effort while working with your child, your family, and any other professionals involved in your child’s care. In return, a level of commitment must be made on your part.
Therapy ContractTherapy Contract • May 6th, 2020
Thank you for entrusting us with the care of your child. KTZ assures you that we will put forth maximum effort while working with your child, your family, and any other professionals involved in your child’s care. In return, a level of commitment must be made on your part.
THERAPY CONTRACT: TERMS AND CONDITIONS 2022Therapy Contract • September 20th, 2022
Being a client at this practice signifies that you, (the client or legal guardians of the client) are subject to comply with the following, during the period of intervention:
Code of EthicsTherapy Contract • May 15th, 2013
As a member of the BACP, I am bound by its Ethical Framework for Good Practice in Counselling and Psychotherapy and subject to the Professional Conduct Procedure therein.
Therapy Contract for Clinical Psychology with Dr Lit EziefulaTherapy Contract • January 29th, 2023
Please give as much notice as possible if you are going to be late or cannot attend your appointment. If you are late the session will still finish at the arranged time.
Therapy contractTherapy Contract • April 11th, 2023
and Institutsambulanz des DGVT Aus- und Weiterbildungszentrums Erlangen-Nürnberg GmbH represented by the Institute Management
Therapy Contract, Terms and ConditionsTherapy Contract • September 22nd, 2021
Consent is gained prior to any intervention (including assessment, advice and therapy) using a separate form addressed to the client and witnessed by a carer if applicable, involving written consent: N-PInformationConsentSept2021.
THERAPY CONTRACTTherapy Contract • October 7th, 2022
Please read document this carefully before using services by K D Peak therapy and sign this contract only if you wish to be bound by it.
