MH Services & Financial Agreement - Staff Requested
Person signing forms is the:
A. PERMISSION FOR TREATMENT
I agree to permit employees and interns of Minnesota CarePartner to provide services to me. I understand that Minnesota CarePartner can make no guarantees about the outcome of my treatment, but that I can expect to receive services that are ethical and professional. I understand that Minnesota CarePartner agrees to comply with all privacy laws and respects my right to confidentiality. As a client, I agree to attempt to be honest and to disclose information to assist the MNCP staff in providing appropriate services.
Under the above conditions, I provide my consent to receive services from Minnesota CarePartner
B. FINANCIAL AGREEMENT
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Document Name: MH Services & Financial Agreement - Staff Requested
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