Informed Consent & Agreement for Psychotherapy ServicesDecember 3rd, 2020
FiledDecember 3rd, 2020CONSENT FOR TREATMENT: I hereby agree that I am entering treatment, or that my minor age child is entering treatment, with Susan BaileyKadin, MA, LMFT, lic.19874. I authorize and request that my treating provider carry out mental health examinations, treatments, and/or diagnostic procedures which now or during the course of my care are advisable. I understand that the purposes of these procedures will be explained to me upon my request and subject to my agreement. I also understand that while the course of therapy is designed to be helpful, it may at times be difficult and uncomfortable. I am encouraged to discuss with the therapist any questions/concerns about my treatment. I agree to the following terms and policies: