• Confidentiality
  • Scope
  • Terms
  • Name
  • Address

Consent

All we discuss is confidential. We consent to the exceptions of (1) supervision and (2) your safety.

Scope of Practice

I have read the 'Scope of Practice' and the 'Disclosure Statement' on the website.

Terms

If you provide 24 hours notice of a cancellation no cancellation fee will be charged. If you do not give 24 hours notice of a cancellation a $40.00 cancellation fee may be charged.

I agree to these terms.

Partner 1

Partner 2

Address