BI-WEEKLY AGREEMENT FORM Client Name(Required) Date(Required) MM slash DD slash YYYY Scheduled Day(Required) Scheduled Time(Required) Email Address(Required) I agree to the weekly/biweekly schedule above and understand if I cancel 2 sessions or do not show up for my scheduled appointment (No Show) 2 sessions I will be removed from the weekly/biweekly schedule. In this case I will be seen as the therapist schedule permits.Parent or Guardian/Client SignatureDate MM slash DD slash YYYY Therapist SignatureDate MM slash DD slash YYYY
