Costs for materials photocopying, duplication of tapes and other costs incidental to the performance of work that the client requests will be charged separately and are the client's responsibility. MY TRAINING AND LICENSURE I received a Doctorate of Psychology (PsyD) in Clinical Psychology from Argosy University/Seattle in 2011. I completed my predoctoral internship at the Fremont Community Therapy Project and Xxxxxx Child Center in Seattle, WA, where I conducted numerous assessments and supervised other students on their clinical work. I am a Licensed Psychologist in Washington Sate (PY60252354). I record all sessions to ensure the accuracy of interview and other information gained throughout the assessment process. CLIENT CONSENT TO ASSESSMENT I understand that I, an individual attorney, or we, this law firm, constitute Xx. Xxxxxx'x client and hold direct responsibility for payment of bills to him. I understand that any arrangements that I make with my client to obtain funds for my payments to Xx. Xxxxxx are independent of this agreement. I will not ask Xx. Xxxxxx to enter into fee agreements with any other parties, including my client, to satisfy my indebtedness to him. I understand that Xx. Xxxxxx cannot bill for him work on a contingent fee basis.
Costs for materials photocopying, duplication of tapes and other costs incidental to the performance of work that the client requests will be charged separately and are the client's responsibility. I understand that I, an individual attorney, or we, this law firm, constitute Xx. Xxxxx'x client and hold direct responsibility for payment of bills to her. I understand that any arrangements that I make with my client to obtain funds for my payments to Xx. Xxxxx are independent of this agreement. I will not ask Xx. Xxxxx to enter into fee agreements with any other parties, including my client, to satisfy my indebtedness to her. I understand that Xx. Xxxxx cannot bill for her work on a contingent fee basis.
Costs for materials photocopying, duplication of tapes and other costs incidental to the performance of work that the client requests will be charged separately and are the client's responsibility I understand that Xx. Xxxxx is not providing a health service to my client . If I request Xx. Xxxxx to provide a diagnosis in any report I request I understand that she is not doing so in order to provide health services to my client. I understand that I, an individual attorney, or we, this law firm, constitute Xx. Xxxxx'x client and hold direct responsibility for payment of bills to her. I understand that any arrangements that I make with my client to obtain funds for my payments to Xx. Xxxxx are independent of this agreement. I will not ask Xx. Xxxxx to enter into fee agreements with any other parties, including my client, to satisfy my indebtedness to her. I understand that Xx. Xxxxx cannot bill for her work on a contingent fee basis.
