You can open the Treatment Agreement Template Classroom in multiple formats, including PDF, Word, and Google Docs.
Treatment Agreement Template Classroom Printable | Editable FormSample
[Name of the Therapist]
[Therapist’s ID]
[Therapist’s Address]
[Therapist’s Phone]
[Therapist’s Email]
[Name of the Client/Student]
[Client’s ID]
[Client’s Address]
This document formalizes the treatment agreement for services to be provided in a classroom setting, commencing on [Contract Start Date].
The Therapist agrees to provide the following services: [Specify services such as individual therapy sessions, group therapy sessions, educational workshops].
Services will be provided over a period of [Specify duration], following the schedule of [Specify schedule].
The Client agrees to compensate the Therapist a fee of [Amount] to be paid according to the following terms: [Specify terms, e.g., monthly, per session].
Either party may cancel any scheduled session with [Notice Period] notice, and cancellation fees may apply under the following circumstances: [Specify circumstances].
Both parties agree to uphold the confidentiality of all shared information during the course of treatment, maintaining the privacy of all records and communications.
The Therapist will not be held liable for any injuries or damages resulting from services rendered in this agreement, except in cases of gross negligence.
This agreement will be governed by the laws of [Jurisdiction].
[Signature of the Therapist]
[Name of the Therapist]
[Signature of the Client/Student]
[Name of the Client/Student]
[Name of the Therapist]
[Therapist’s ID]
[Therapist’s Address]
[Therapist’s Phone]
[Therapist’s Email]
[Name of the Client/Student]
[Client’s ID]
[Client’s Address]
This agreement outlines the treatment services to be provided in a classroom setting, effective from [Contract Start Date].
The Therapist will provide: [List of specific services such as assessments, behavioral interventions, etc.].
Sessions will last for [Specify duration, e.g., 50 minutes], and will occur [Specify frequency, e.g., weekly, bi-weekly].
The Client agrees to pay [Amount] as per the following schedule: [Specify detailed payment terms].
The agreement may be terminated under conditions including failure to attend scheduled sessions or non-payment after [Number of Notices].
The Client/Student, or their guardian, must provide informed consent before participation in any treatment program and retain the right to withdraw at any time.
In the event of disputes arising from this agreement, both parties agree to seek resolution through mediation before pursuing legal avenues.
This agreement is subject to the laws of [Jurisdiction].
[Signature of the Therapist]
[Name of the Therapist]
[Signature of the Client/Student]
[Name of the Client/Student]
Form
Please complete the form below to create the Treatment Agreement Template Classroom. All fields must be filled out to ensure a clear and complete agreement. We provide examples to guide you through each step. Treatment Agreement Template Classroom 1. Student Information 2. Guardian Information 3. Treatment Provider Information 4. Treatment Details 5. Schedule of Sessions 6. Confidentiality Terms 7. Fees and Payment Structure 8. Termination Policy 9. Rights and Responsibilities 10. Signatures and Agreement 11. Declaration and Signatures
PDF
WORD
Treatment Agreement Template Classroom Printable | Editable FormPrintable
