ChAT Services' Terms and Conditions and Registration Form

Section One: Terms and Conditions

Please download the PDF below to read through our practice's terms and conditions for therapy.

I agree to the terms and conditions of the therapy contract and understand that I may withdraw my consent at any stage in writing.                                                                                                                                         

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Section Two: Registration Form

Please complete the following registration form to the best of your ability. This will ensure that we have correct information on your records. If you do not know the answer, please leave the section blank

WORK AND SOCIAL ADJUSTMENT

People's problems sometimes affect their ability to do certain day - to - day tasks in their lives. To rate your problems, look at each section and determine on the scale provided how much your problem impairs your ability to carry out the activity.
Thank you for completing our form!
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