Recovery Program Fee Agreement Confirmation


Center for Family Development

1258 High Street, Eugene, OR 97401 - 541-342-8437 / Fax 541-242-2999

Recovery Program Fee Agreement Confirmation

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I have reviewed the Recovery Program Fee Agreement completed by my therapist.

                   


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Signature Certificate
Document name: Recovery Program Fee Agreement Confirmation
lock iconUnique Document ID: 5499e32dda18518ec02a4aa4938a347e0dba0992
Timestamp Audit
December 4, 2020 11:43 am PDTRecovery Program Fee Agreement Confirmation Uploaded by Jason Dooley - jdooley@c-f-d.org IP 65.157.96.202
March 18, 2021 2:55 pm PDT Document owner jdooley@c-f-d.org has handed over this document to donotreply@c-f-d.org 2021-03-18 14:55:23 - 65.157.96.202
March 18, 2021 2:55 pm PDTCFD Main - main@c-f-d.org added by Do Not Reply - donotreply@c-f-d.org as a CC'd Recipient Ip: 65.157.96.202