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#4 SHACKELFORD PLAZA SUITE 100, LITTLER OCK, AR 72211 P: 501.313.1185F:501.421.9403 INFO×ARKANSASRELATIONSHIPCOUNSELING. Conformed Consent for Therapy Services Thank you for choosing the Arkansas
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It is a revised agreement form for the ARC (Agreement Review Committee) as of February 26, 2021, related to email correspondence.
Individuals or entities involved in agreements reviewed by the ARC are required to file this form.
The form must be filled out with all relevant information, including details of the agreement, contact information, and any revisions made.
The form is used to document and track revisions made to agreements reviewed by the ARC through email correspondence.
Information such as agreement details, revisions, parties involved, and relevant contact information must be reported on the form.
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