psychologicalbalance.com Agreement 12-1-2015.pdfservices. If you do not wish information disclosed...

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Transcript of psychologicalbalance.com Agreement 12-1-2015.pdfservices. If you do not wish information disclosed...

Page 1: psychologicalbalance.com Agreement 12-1-2015.pdfservices. If you do not wish information disclosed to your insurance company, you can sign a cash only agreement. 5) PAYMENT POLICY
Page 2: psychologicalbalance.com Agreement 12-1-2015.pdfservices. If you do not wish information disclosed to your insurance company, you can sign a cash only agreement. 5) PAYMENT POLICY
Page 3: psychologicalbalance.com Agreement 12-1-2015.pdfservices. If you do not wish information disclosed to your insurance company, you can sign a cash only agreement. 5) PAYMENT POLICY
Page 4: psychologicalbalance.com Agreement 12-1-2015.pdfservices. If you do not wish information disclosed to your insurance company, you can sign a cash only agreement. 5) PAYMENT POLICY
Page 5: psychologicalbalance.com Agreement 12-1-2015.pdfservices. If you do not wish information disclosed to your insurance company, you can sign a cash only agreement. 5) PAYMENT POLICY