TREATMENT AGREEMENT & INFORMED CONSENTTreatment Agreement & Informed Consent • January 6th, 2022
In order for me to provide the most timely and efficient service to you and your family, we need to share similar ideas about treatment. Please read the entire document carefully and be sure to ask me any questions that you may have regarding its contents.
TREATMENT AGREEMENT / INFORMED CONSENTTreatment Agreement / Informed Consent • February 14th, 2022
Due to public health concerns related to Covid-19, Downstate Medical Center, Counseling Services will provide scheduled clinical phone services to currently enrolled students who are physically in New York State at the time of their session during the interim of the campus closure. Both student and clinician agree to maintain privacy during the scheduled phone session. Should the need for higher level of care emerge during the phone session, the student agrees to heed the counsel of the clinician and pursue this higher level of care.
Kitty O. Olmos Licensed Clinical Social WorkerTreatment Agreement/Informed Consent • October 5th, 2021
Introduction: (To save time during your appointment, I suggest you take a look at these office policies, print them out and bring a signed copy with you to your scheduled visit. If you'd prefer, of course I can also give you the form during your appointment.)
Bren J Fraser M.A. MFT 45649 Licensed Marriage and Family TherapistTreatment Agreement & Informed Consent • January 6th, 2022
In order for me to provide the most timely and efficient service to you and your family, we need to share similar ideas about treatment. Please read the entire document carefully and be sure to ask me any questions that you may have regarding its contents.
Bren J Fraser M.A. MFT 45649 Licensed Marriage and Family TherapistTreatment Agreement & Informed Consent • August 18th, 2024
In order for me to provide the most timely and efficient service to you and your family, we need to share similar ideas about treatment. Please read the entire document carefully and be sure to ask me any questions that you may have regarding its contents.
