The reader is strongly advised to have his/her personal attorney review the Sample Outpatient Services Agreement for Collaterals document prior to implementation. The document should be in compliance with state and local statutes regulating the practice of psychology and should be clear of language that could be interpreted as a guarantee or implied warranty regarding the services rendered.

What follows is specific draft text that you may feel free to adapt for your practice or agency. Sections of the draft where you should insert numbers are designated XX, and sections you may want to add or specially modify are [bracketed].

CLICK TO VIEW THE SAMPLE OUTPATIENT SERVICES AGREEMENT FOR COLLATERALS (HTML)

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