Common use of Witness Date Clause in Contracts

Witness Date. I have read and understand the information contained in the Therapy Agreement, Policies and Consent. I have discussed any questions that I have regarding this information with . My signature below indicates that I am voluntarily giving my informed consent to receive counseling services and agree to abide by the agreement and policies listed in this consent. I authorize to provide counseling services that are considered necessary and advisable.

Witness Date. I have read and understand the information contained in the Therapy Agreement, Policies and Consent. I have discussed any questions that I have regarding this information with ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇. My signature below indicates that I am voluntarily giving my informed consent to receive counseling services and agree to abide by the agreement and policies listed in this consent. I authorize ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ to provide counseling services that are considered necessary and advisable.