Information and Treatment Agreement Sample Contracts

BARBARA L. EDWARDS, M.A. - LICENSED PSYCHOLOGIST
Information and Treatment Agreement • January 26th, 2023

The purpose of this information is so that you will have knowledge of my practice policies. Although this may seem to be business-like or cold, it will enable you to have an understanding of the nature of services provided and answer many of the questions clients ask. It also provides you with the needed information without taking up time during your first appointment. Your signature indicates that you understand the business aspects of treatment. The federal law, HIPAA, and most insurance companies require that I have obtained informed consent and this document will satisfy that requirement.

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Basic Information and Treatment Agreement
Information and Treatment Agreement • February 12th, 2019

Psychotherapy is an investment in the quality of your future life. You will be expected to make an investment of time, money and emotional energy. Therapy is at times exhilarating, at times painful. Most of my clients have reported either complete or major improvement after therapy. While I cannot guarantee an outcome, I do believe it is directly related to your investment in our work. It is my honor to embark on this therapeutic journey with you.

CHRONIC PAIN IN CORWALL INFORMATION AND TREATMENT AGREEMENT
Information and Treatment Agreement • November 30th, 2017

Embarking on opioids for chronic pain is risky. Sometimes there’s a benefit for a few months but there’s a high chance the drugs won’t help the pain long term.

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