THERAPY PARTICIPATION AGREEMENTTherapy Participation Agreement • December 19th, 2019
Welcome to Vendetti Wellness Group. 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 we can discuss them at our next meeting. When you sign this document, it will represent an agreement between us.
ContractTherapy Participation Agreement • February 26th, 2013
Therapy Participation AgreementChild’s Name DOB: We are committed to partnering with you to optimize the benefits of therapy for your child. We have outlined below the key factors we believe most contribute to your child meeting their goals. What is our role in your child’s success? W hat is your role in your child’s success? Schedulingo Review scheduling guidelines with you.o Assure scheduled visits follow treatment plan. Schedulingo Follow scheduling guidelines – You may schedule up to four visits over a 2 month period. Preparednesso Assist with insurance authorization and ensure all visits are authorized by the parent.o Ensure that needed equipment and/or suppliesare available at each visit. Preparednesso Understand your insurance benefits and self-pay options.o Bring the equipment and/or supplies your childneeds to each visit. Participationo Start therapy at the scheduled time.o Give you and your child our full attention during each visit.o Learn what motivates or limits your child
THERAPY PARTICIPATION AGREEMENTTherapy Participation Agreement • May 20th, 2020
The HSC Pediatric Center is committed to providing your child with quality care. Your child’s success depends on good attendance in therapy and carryover at home. Please read through the Therapy Participation Agreement and sign at the bottom to indicate that you have read, understand and agree to the following policies.
Therapy Participation AgreementTherapy Participation Agreement • March 10th, 2017
Psychotherapy can be an effective treatment for a variety of mental health conditions and concerns. It can assist you in developing new coping skills that will empower you to overcome the stressors and symptoms that prevent you from enjoying life to its fullest.
AGREEMENT TO PARTICIPATE FOR ADOLESCENTSTherapy Participation Agreement • April 21st, 2023
The success of therapy depends on a high degree of trust between you and your therapist. This document was created for adolescents to learn about what to expect from therapy and from their therapist.
