Common Contracts

2 similar Disclosure Statement & Agreement for Services contracts

DISCLOSURE STATEMENT & AGREEMENT FOR SERVICES
Disclosure Statement & Agreement for Services • July 15th, 2024

Please Note: This document provides important information to you regarding your treat- ment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents. Please initial or sign where indicated.

DISCLOSURE STATEMENT & AGREEMENT FOR SERVICES
Disclosure Statement & Agreement for Services • April 14th, 2024

Please Note: This document provides important information to you regarding your treat- ment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents. Please initial or sign where indicated.