Consent to TreatmentConsent to Treatment • October 4th, 2013
For Crystal A. McComas, LSCSW, LLC to provide services to you, your minor child, or your ward, you must read and sign this Consent to Treatment form. Please be advised that this form is not a contract or agreement for services. This form simply allows Crystal A. McComas, LSCSW, and LLC to provide services to you, your minor child, or your ward. You may withdraw this consent to treatment at any time and ask that your file be closed.
Consent to TreatmentConsent to Treatment • February 11th, 2022
Welcome to my practice. This document contains important information about my 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.
Consent to TreatmentConsent to Treatment • October 5th, 2020
Consent to TreatmentConsent to Treatment • November 10th, 2015
Carolyn Breaud is licensed as a Marriage and Family Therapist (LMFT), to work with individuals, children and families. Her therapeutic modality is eclectic, although she is primarily solution-focused and behaviorally based. She often modifies her approach to suit the needs of the client and continues to monitor progress throughout therapy.
CONSENT TO TREATMENTConsent to Treatment • November 3rd, 2021
The purpose of this agreement is to provide important information about the policies and procedures of my practice. Psychotherapy is more likely to be successful if we have a mutual understanding of the counseling process.
