Common Contracts

2 similar Disclosure Statement & Agreement for Services contracts

DISCLOSURE STATEMENT & AGREEMENT FOR SERVICES
Disclosure Statement & Agreement for Services • March 10th, 2021

This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions you may have regarding its contents.

DISCLOSURE STATEMENT & AGREEMENT FOR SERVICES
Disclosure Statement & Agreement for Services • April 24th, 2013

This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions you may have regarding its contents.