Jill T. Silverman, Ph.D.Services Agreement • October 17th, 2013
Contract Type FiledOctober 17th, 2013Welcome to my practice. This document (the Agreement) contains important information about my professional services and business policies. When you sign this document, it will also represent an agreement between us. You may revoke this Agreement in writing at any time. That revocation will be binding on me unless I have taken action in reliance on it; if there are obligations imposed on me by your health insurer in order to process or substantiate claims made under your policy; or if you have not satisfied any financial obligations you have incurred.