INFORMED CONSENT AGREEMENT FOR COUPLES THERAPYInformed Consent Agreement • April 7th, 2017 • Virginia
Contract Type FiledApril 7th, 2017 JurisdictionThis Agreement is made and entered effective this day of 20 (“Effective Date”) by and between Healing Together, PLC (“Healing Together”), a Virginia Professional Limited Liability Company, and the clients whose signature is contained in the signature line at the end of this agreement (the “Clients”). NOW, THEREFORE, IN CONSIDERATION of the mutual covenants and promises of the parties hereto, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows: