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Winston Segovia, PSD Clinical Psychologist (503) 36460932250 D Street NE Salem, Oregon 97301Fax: (503) 3645121INFORMED CONSENT Welcome to my practice. I appreciate your considering me as a resource
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Review the Winston Seegobin PsyD contract carefully to understand its terms and conditions.
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Fill out your personal information accurately, including your full name, contact details, and address.
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Read each section of the contract thoroughly and ensure that you understand it.
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Enter any other relevant information requested in the contract, such as your medical history or reason for seeking services.
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This could include patients or clients looking to engage in therapy sessions or counseling, individuals seeking psychological evaluations or assessments, or organizations requiring the services of Winston Seegobin PsyD for consultation or training purposes.
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The Winston Seegobin PsyD contract is a legal agreement between Winston Seegobin, a licensed psychologist, and a client outlining the terms of therapy services provided.
Both Winston Seegobin, the licensed psychologist, and the client are required to sign and file the Winston Seegobin PsyD contract.
The Winston Seegobin PsyD contract can be filled out by providing personal information, details of therapy services, payment terms, confidentiality agreements, and signatures of both parties.
The purpose of the Winston Seegobin PsyD contract is to establish clear guidelines and expectations for therapy sessions, ensure confidentiality of information shared, and protect the rights of both the psychologist and the client.
The Winston Seegobin PsyD contract must include personal information of the client and psychologist, details of therapy services, fees and payment terms, confidentiality agreements, and signatures of both parties.
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