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David Shanley PSD, LLC 1776 S. Jackson St., Suite 204 Denver, CO 80210 Psychologist Candidate #00013457 DISCLOSURE INFORMATION & CONTRACT FOR PSYCHOLOGICAL SERVICES DATE: CLIENT NAME: BIRTHDATE: ADDRESS:
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Open the disclosure statement docx file on your computer using Microsoft Word or any compatible software.
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Begin by entering the date at the top of the document. Make sure to use the correct format, such as "MM/DD/YYYY."
03
Fill in your personal information, including your full name, address, phone number, and email address. This information is crucial for identification purposes.
04
Provide details about the subject of the disclosure statement. Explain what or who the statement is about, ensuring clarity and accuracy.
05
Describe the nature of the disclosure. Clearly state what information or materials you are disclosing and why it is important.
06
Include any relevant supporting documentation or attachments by inserting them into the document. These may include contracts, agreements, or other supplementary materials.
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Review the disclosure statement thoroughly for accuracy and completeness. Make sure all the necessary information is included and that there are no errors or omissions.
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If required, sign the disclosure statement. Insert a signature line at the bottom of the document and add your full name and the date above or below your signature.

Who needs a disclosure statement docx?

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Individuals or companies involved in business transactions often need disclosure statements. These may include sellers, buyers, or parties entering into contractual agreements.
02
Professionals in regulated industries, such as finance or healthcare, may require a disclosure statement to comply with legal or ethical requirements.
03
Organizations seeking funding from investors or lenders often need to provide a disclosure statement to disclose relevant information about their financial situation or business operations.
Note: It is crucial to seek legal advice or consult specific regulations and requirements to determine who needs a disclosure statement in your particular situation. This general information should not be considered as legal or professional advice.
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A disclosure statementdocx is a document that provides information about financial interests, relationships, or other potential conflicts of interest.
Individuals who hold certain positions or roles within an organization, such as executives, board members, or research investigators, may be required to file a disclosure statementdocx.
To fill out a disclosure statementdocx, individuals typically provide information about their financial interests, relationships, or other potential conflicts of interest in the designated sections of the document.
The purpose of a disclosure statementdocx is to promote transparency and identify potential conflicts of interest that may impact decision-making or create bias.
Information that may need to be reported on a disclosure statementdocx includes financial interests, relationships with outside entities, and any other potential conflicts of interest that may exist.
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