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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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01
Review the Winston Seegobin PsyD contract carefully to understand its terms and conditions.
02
Fill out your personal information accurately, including your full name, contact details, and address.
03
Provide any required identification or supporting documentation, such as a copy of your ID or insurance information.
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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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Winston Seegobin PsyD contract may be needed by individuals seeking his professional services.
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What is winston seegobin psyd contract?
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.
Who is required to file winston seegobin psyd contract?
Both Winston Seegobin, the licensed psychologist, and the client are required to sign and file the Winston Seegobin PsyD contract.
How to fill out 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.
What is the purpose of winston seegobin psyd contract?
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.
What information must be reported on winston seegobin psyd contract?
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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