Common Contracts

2 similar Treatment Agreement contracts

TREATMENT AGREEMENT FOR CHILDREN
Treatment Agreement • December 10th, 2020

FEES: The fee per 50-minute session is $ (except for the first session, which is $ ). This is payable at the time of our session, unless I am billing your insurance (see below for insurance billing information).

TREATMENT AGREEMENT FOR TEENS / CHILDREN
Treatment Agreement • December 10th, 2020

FEES: The fee per 50-minute session is $ (except for the first session, which is $ ). This is payable at the time of our session, unless I am billing your insurance (see below for insurance billing information).