Please Read Carefully

Thank you for your interest in receiving assistance from the below named Practitioner of Pastoral Science & Medicine.

The Practitioner is a member of the Pastoral Medical Association*(PMA) and is required to provide certain disclosures to you and to provide assistance only when the Practitioner and you have signed the Agreement below providing specific terms and conditions of your relationship as a Client of the Practitioner. This Agreement below meets these requirements.

In the Agreement below, your Practitioner is referred to as