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I. Uses and Disclosures for Treatment, Payment, and Health …

WEB3 I have read and reviewed this policy. I understand and agree to its contents. A copy of this document was provided to me. Name: (Print): _____ Signature: _____

Actived: 5 days ago

URL: https://cognitivetherapynj.com/wp-content/uploads/2015/03/Hippa_CTC_llc.pdf

Psychotherapy Services Contract

WEBProfessional Fees: Our initial evaluation fee is $250. The fee for a 50 minute session is $195. In addition to weekly meetings, we charge this amount for other

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Psychotherapy Services Contract

WEBProfessional Fees: . My initial evaluation fee is $225. The fee for a 50 minute session is $185. In addition to weekly meetings, I charge this amount for other professional

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Date: Child and Adolescent

WEB1 Date:_____ Child and Adolescent - Parent Questionnaire Please answer the following questions as completely as possible.

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