Common Contracts
2 similar null contracts
Signing this form is your agreement for psychotherapy services conducted by Ruth “Ann” VanDenTop, LMHC, NCC, EMDR License # 001149September 26th, 2019
The purpose of this Informed Consent for Technology Assisted Counseling is to inform you, the client, about the process of online counseling services, the counselor and the potential risks and benefits of these services. The purpose is to also help safeguard you, the client, and give you information regarding alternatives to online services. This consent is an addendum to the faceto-face informed consent you, the client, are required to sign.
Signing this form is your agreement for psychotherapy services conducted by Millie Lace, M.S.E., LPC, DCC License # POO11032, DCC 1221October 17th, 2013
The purpose of this Informed Consent for Technology Assisted Counseling is to inform you, the client, about the process of online counseling services, the counselor and the potential risks and benefits of these services. The purpose is to also help safeguard you, the client, and give you information regarding alternatives to online services. This consent is an addendum to the face- to-face informed consent you, the client, are required to sign.
