COUNSELING CONTRACTCounseling Contract • January 2nd, 2018
Contract Type FiledJanuary 2nd, 2018PATIENT AGREEMENT: I agree to attend the scheduled appointments with all designated family members. Regular sessions are 45 minutes in length. I myself or as the undersigned parent(s) or legal guardian(s) of , a minor, do hereby consent to counseling services by the above-named counselor. This authorization shall remain in effect until revoked in writing by the undersigned.