Client / Counselor Agreement Sample Contracts
Alternative & Complementary Medicine, Inc. 25431 Cabot Rd., Suite 202A Laguna Hills, CA 92653Client/Counselor Agreement • November 18th, 2020
Contract Type FiledNovember 18th, 2020It is hereby agreed between the client ______________________________________ and the Nutritional Counselor A. Meschi PhD, BCIM that the services and Client’s health history voluntarily provided by client will be always restricted to the consultation on the subject of nutritional matters. It will never in any manner involve prognosticating, diagnosing or prescribing of drugs for the treatment of diseases.
Ten Ten Counseling, LLC Client-Counselor AgreementClient-Counselor Agreement • August 1st, 2020
Contract Type FiledAugust 1st, 2020Welcome to Ten Ten Counseling. This document contains important information about our professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides privacy protections and patient rights about the use and disclosure of your Protected Health Information (PHI) for the purposes of treatment, payment, and health care operations. Although these documents are long and sometimes complex, it is very important that you understand them. When you sign this document, it will also represent an agreement between you and your therapist. Your therapist can discuss any questions you have when you sign this or at anytime in the future.
Client Counselor Agreement Contract, Privacy Policy, and Disclosure StatementsClient Counselor Agreement • February 21st, 2012
Contract Type FiledFebruary 21st, 2012
CLIENT & COUNSELOR AGREEMENTClient & Counselor Agreement • March 7th, 2022
Contract Type FiledMarch 7th, 2022
ContractClient/Counselor Agreement • January 26th, 2015
Contract Type FiledJanuary 26th, 2015
Client / Counselor AgreementClient / Counselor Agreement • December 17th, 2012
Contract Type FiledDecember 17th, 2012That the service performed by the nutrition consultant for the client will be at all times restricted to the consultation on the subject of nutritional matters for the maintenance of best possible state of health for the client. It will never in any manner involve prognosticating, diagnosing or prescribing of remedies for the treatment of diseases.
