Common Contracts

2 similar null contracts

DOB: (MM/ DD / YYYY) Client ID: Date of Service: (MM/ DD / YYYY)
July 1st, 2016
  • Filed
    July 1st, 2016

This Agreement describes basic information about Sweetser Services--what you can expect from a staff person; what is expected of you by Sweetser when you choose to receive services; billing and insurance requirements. Please review this with the staff person and be sure that all of your questions are answered fully.

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DOB: (MM/ DD / YYYY) Client ID: Date of Service: (MM/ DD / YYYY)
July 1st, 2016
  • Filed
    July 1st, 2016

This Agreement describes basic information about Sweetser Services--what you can expect from a staff person; what is expected of you by Sweetser when you choose to receive services; billing and insurance requirements. Please review this with the staff person and be sure that all of your questions are answered fully.

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