Common Contracts

2 similar Fee Agreement/Consent to Treatment contracts

Fee Agreement/Consent to Treatment
Fee Agreement/Consent to Treatment • November 18th, 2020

This agreement describes the fees and policies of Heart to Heart Counseling, LLC. Alterations or modifications of this agreement are not allowed. All sections requiring your acknowledgment and/or signature must be completed before therapy services can be provided. A copy of this fee agreement is available at your request.

Fee Agreement/Consent to Treatment
Fee Agreement/Consent to Treatment • November 18th, 2020

This agreement describes the fees and policies of Heart to Heart Counseling, LLC. Alterations or modifications of this agreement are not allowed. All sections requiring your acknowledgment and/or signature must be completed before therapy services can be provided. A copy of this fee agreement is available at your request.