Counseling Agreement Sample Contracts

COUNSELING AGREEMENT
Counseling Agreement • September 26th, 2022

In order to be fully informed about the counseling you will be receiving, please read through the following Counseling Agreement. Your consent to the Counseling Agreement will be required at the first session.

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Life Transitions and Relationship Counseling
Counseling Agreement • January 22nd, 2023

The purpose of this agreement is to provide clear information regarding the counseling process and the policies of my practice.

RUBY HILL COUNSELING CENTER (RHCC) COUNSELING AGREEMENT
Counseling Agreement • March 10th, 2014

As we begin working together, it is important that you understand certain matters of RHCC policy. Please read these sections carefully, the information will be beneficial to each of us. Feel free to question or comment on any matter that is unclear to you. After you and I have reviewed this agreement, we will each sign it. I will keep a copy for your file and give you a copy.

TELEHEALTH (VIDEO/PHONE) COUNSELING AGREEMENT
Counseling Agreement • May 6th, 2021

The purpose of this form is to obtain your consent to participate in telemental health, which involves counseling by phone, video, or secure online email portal.

Journeys Counseling
Counseling Agreement • February 5th, 2018

It is a privilege that you have selected me to provide you with professional counseling services. The following information is designed to inform you of my qualifications and the terms of our working together within our professional counseling relationship.

Counseling Agreement
Counseling Agreement • June 29th, 2020

Counseling services provided by Laquanya Haggray are a voluntary agreement for consultation and counseling. Issues to be addressed include, but are not limited to family, marital, trauma, depression, anxiety, substance use and grief/loss counseling. If further referral is necessary, it will be discussed in session prior to any release of information. Other referrals may include mental health therapy via psychiatrist, primary care physician, etc.

COUNSELING AGREEMENT
Counseling Agreement • November 19th, 2015

The following outlines several conditions upon which counseling cases will be initiated. While this is not meant to be exhaustive in scope, it does represent our philosophy of biblical counseling, a vital aspect of the total shepherding ministry of Faith Community Church.

Counseling Agreement • Kirsten M. Lundeberg, LPC, LMFT 3923 Old Lee Highway, Suite 63 D
Counseling Agreement • September 6th, 2020
COUNSELING AGREEMENT
Counseling Agreement • May 22nd, 2014

This brief document represents an agreement between you, Village Presbyterian Church and Dr. Dave Ehman, who will serve as your counselor. You may revoke this agreement in writing at any time and that revocation will be binding on us unless we have taken action in reliance on it prior to your request.

Access Counseling Group (ACG) Professional Disclosure and Informed Consent
Counseling Agreement • April 30th, 2019

Before you start counseling there are some things that you ought to know. This document includes a Professional Disclosure Statement which is designed to inform you about Rob Lewinski and to ensure that you understand the professional relationship. Another part of this document is the Informed Consent which will help you understand better what to expect from your effort at our office and it will explain some limitations to what we will be doing. Finally, this document includes the Business Policies of our office.

Counseling Agreement 輔導協議
Counseling Agreement • August 2nd, 2017

Clients will be referred outside of HCS when treatment required is beyond the scope of care available at HCS. Though HCS strives to be responsible and professional in the referral procedure, it is your full right and responsibility to select the professional of your choice. Furthermore, HCS is not liable for any services provided or not provided by the referred professional.

Counseling Agreement and Consent for Treatment
Counseling Agreement • February 22nd, 2022

Welcome to SouthernMED Counseling. We are glad you have chosen us to help you explore your concerns. If you have any questions regarding any documents you have received, please feel free to discuss them with your counselor.

COUNSELING AGREEMENT
Counseling Agreement • May 17th, 2012
The Goal of New Life Counseling
Counseling Agreement • July 28th, 2021

Our goal in providing counseling is to help you meet the challenges of life in a way that will please and honor the Lord Jesus Christ. Our goal is to encourage you to live more effectively by faith working through love and to enjoy God’s love and commitment to you and His plans for your life.

Williams Christian Counseling Joseph A. Williams, LCSW, BCPCC
Counseling Agreement • January 31st, 2022
TELEHEALTH (VIDEO/PHONE) COUNSELING AGREEMENT
Counseling Agreement • May 27th, 2024

The purpose of this form is to obtain your consent to participate in telemental health, which involves counseling by phone, video, or secure online email portal.

COUNSELING AGREEMENT
Counseling Agreement • July 22nd, 2019

Our counseling at Greentree is biblical counseling and viewed as an aspect of Christian discipleship. Since only God has the authority and wisdom to tell us who we are and how we are to live, then the Bible, as God’s Word, is our final authority. It is meant to interpret all of life for us. So in our counseling, we seek to apply the Bible to life.

Counseling Agreement
Counseling Agreement • February 18th, 2022

As a pastor, my prayer is for the Holy Spirit to work in my life and your life so that God honoring change and healing occurs. It is my desire for you to have a safe, open context where you can explore problems and develop biblical solutions. I plan to incorporate Scripture, prayer, and other Christian disciplines into the counseling process when beneficial and appropriate. I also plan to incorporate homework as part of the counseling process. This allows you the opportunity to work on things outside of session related to your goals. For the most part, I structure pastoral counseling to consist of 5-6 sessions. After this, if there is the need for additional counseling I may refer you to someone for further assistance. If I do not feel adequately trained or best suited to help you, I will refer you to another pastor or Christian counselor in the area to assist you.

COUNSELING AGREEMENT WITH KOREN BIERFELDT
Counseling Agreement • March 26th, 2021

Professional time involved in the following direct and indirect services is computed at the rate of $150.00 per hour. These professional services include but are not limited to:

COUNSELING AGREEMENT
Counseling Agreement • August 26th, 2020
Pastoral Counseling Agreement
Counseling Agreement • June 22nd, 2021

In order to be fully informed about the pastoral counseling you will be receiving, please read through the following agreement, sign, and date it. This form must be completed and returned to the church office prior to the first session. Please be advised that couples receiving counseling will need to submit individual forms.

COUNSELING AGREEMENT
Counseling Agreement • March 28th, 2018
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Counseling Agreement
Counseling Agreement • January 19th, 2020

In order to be fully informed about the counseling you will be receiving, please read through the following Counseling Agreement. Your consent to the Counseling Agreement will be required at the first session.

COUNSELING AGREEMENT
Counseling Agreement • August 1st, 2020

To begin a working relationship with you I am providing a summary of my professional background and important legal and ethical information. Please read the following information carefully and we can discuss any questions that arise. I will ask you to sign your intake form to indicate that you have read and understood this information and are granting voluntary and informed consent for our counseling relationship.

BIBLICAL COUNSELING FAITH CHURCH MINISTRIES
Counseling Agreement • September 30th, 2015
Consent to Counseling Agreement
Counseling Agreement • August 12th, 2019

The purpose of biblical counseling is to help you meet the challenges of life in a manner which is pleasing and honoring to the Lord Jesus Christ. Our counseling is offered free of charge as a ministry of Community Bible Church of Central Point, an Oregon non-profit corporation. Counselees are welcome to make a donation to the ministry; however, this is not a required condition for counseling. You have no obligation, express or implied, to pay fees for the counseling you receive through ABC; however, donations are appreciated and will help ensure that the ministry continues.

COUNSELING AGREEMENT
Counseling Agreement • January 27th, 2021

In order to be fully informed about the counseling you will be receiving, please read through this following agreement, sign and date it at the bottom. This form must be signed and included with the intake form in order to begin counseling.

Counseling Agreement
Counseling Agreement • July 14th, 2015

As part of the counseling process, I understand that I may be required to follow through with homework exercises such as reading, changing behaviors, praying, or other initiatives that will serve my best interest. Ultimately I understand that I am entirely responsible for my own actions and I will always make my own final decisions regarding counseling. Initial

Turning Hearts Ministries
Counseling Agreement • December 23rd, 2022

All counseling will be conducted in accordance with the the Word of God. It will be biblical, pastoral counseling in which the Bible is, in all cases, the final authority. If you are not sure that you will be interested in Biblically-based counseling, you may participate in an initial session to discover what Biblical counseling is like. If you are willing to use the Bible as the final authority in counseling, we will proceed with counseling sessions.

COUNSELING AGREEMENT
Counseling Agreement • September 6th, 2020

In order to be fully informed about the counseling you will be receiving, please read through the following Counseling Agreement. Your consent to the Counseling Agreement will be required at the first session.

Life Transitions and Relationship Counseling
Counseling Agreement • June 23rd, 2024

The purpose of this agreement is to provide clear information regarding the counseling process and the policies of my practice.

Counseling Agreement & Consent for Treatment
Counseling Agreement • January 10th, 2022

 Benefits and Risks: Active participation in therapy can result in a number of benefits, and most individuals experience improvement and healing during this process. Engaging in therapy can result in experiencing considerable emotional discomfort as we address difficult issues in your life, propose ways of handling situations, and challenge your perceptions. Attempting to resolve therapeutic issues may also result in changes that were not initially intended.

Pathways to Healing Counseling, LLC Couples Counseling Agreement
Counseling Agreement • August 6th, 2020

When working together, it is expressly understood that my client is both you and your relationship and each of you as individuals. In order to maintain fidelity to both you and to your relationship, there are important agreements for us to make.

COUNSELING AGREEMENT
Counseling Agreement • July 30th, 2018
biblical counseling agreement
Counseling Agreement • September 10th, 2021

Thank you for your interest in biblical, Christ-centered counseling. We look forward to helping you find God's help and hope for the problems or conflicts you are facing. The following information will help you further understand our ministry and will serve as an agreement between us.

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