Agreement for Service, Informed Consent, and Client Rights Sample Contracts

Agreement for Service, Informed Consent, and Client Rights
Agreement for Service, Informed Consent, and Client Rights • October 22nd, 2022

(herein “Patient(s)”) with important information regarding the practices, polices and procedures of Adam Moss (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient(s). Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.

Adam Moss, PsyD
Agreement for Service, Informed Consent, and Client Rights • September 25th, 2020

(herein “Patient(s)”) with important information regarding the practices, polices and procedures of Adam Moss (herein “Therapist”), and to clarify the terms of the professional therapeutic relationship between Therapist and Patient(s). Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.

Russell E. Hendlin, LMFT
Agreement for Service, Informed Consent, and Client Rights • November 22nd, 2019