Patient Agreement/Consent for Treatment Sample Contracts

Contract
Patient Agreement/Consent for Treatment • January 17th, 2021

Ronald C. Naso, Ph.D., ABPP, LLCDiplomate, American Board of Professional Psychology Specialty Board Certification in PsychoanalysisFellow, Academy of PsychoanalysisFellow, American Psychological Association Licensed Clinical PsychologistFaculty, Derner School of Psychology, Adelphi University Suite 504B, Summer St. Stamford, CT 06905 Tel: 203 325-3661Fax: 203 548-9847Email: rnaso@ronaldnaso.com Website: www.ronaldnaso.com