COUNSELING AGREEMENTCounseling 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.
CARL MOJTA, LMFT, LLCCounseling Agreement • October 13th, 2020
There are exceptions to this confidentiality when disclosure is required by law, which are: when there is reasonable suspicion of child or elder abuse or neglect; as well as when there are certain issues related to suicide and homicide. If a legal exception arises during therapy, if feasible, you will be informed accordingly.
N E W E N G L A N D A F F I L I A T E O F F I C ECounseling Agreement • May 20th, 2021
Life Transitions and Relationship CounselingCounseling Agreement • January 22nd, 2023
The purpose of this agreement is to provide clear information regarding the counseling process and the policies of my practice.
Graham Church Counseling AgreementCounseling Agreement • November 25th, 2020
Have you been having trouble? Don’t know what to do or where to turn? The pastors & counselors of Graham Church of Laingsburg, MI want you to know that they are available to take a limited number of counseling cases from outside the congregation in addition to those they are conducting at any given time. You may apply for help by phoning 517.675.5401 or go to our website: www.grahamchurch.org
RUBY HILL COUNSELING CENTER (RHCC) COUNSELING AGREEMENTCounseling 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.
Agreement For ParentsCounseling Agreement • August 29th, 2013
Facilitate open and appropriate expression of strong feelings commonly experienced by children in family transitions, including guilt, grief, sadness, and anger
Journeys CounselingCounseling 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 & INFORMED CONSENTCounseling Agreement • December 29th, 2023
Thank you for choosing me, Pat Gossett, MA., LPC, for your counseling needs. These documents are designed to ensure that you understand our professional relationship, provide me with your consent for counseling, and to collect pertinent information to assist me in your counseling process. Please be thorough as you complete these important documents.
JAELLINE JAFFE, Ph.D.Counseling Agreement • August 7th, 2023
INNERWAVES COUNSELLING AGREEMENTCounseling Agreement • November 10th, 2022
Fees: $140.00 per hour (effective December 1st, 2022) To be paid by cash, cheque, debit, Visa, Master Card at each session. Fees may be raised periodically.
Counselee Informed Consent FormCounseling Agreement • May 5th, 2017
A Certified Biblical Counselor is a person trained to listen and care for others. Certified Biblical Counselors are not licensed therapists. Certified Biblical Counselors are trained in the skills of listening, clarifying, and leading counselees based upon the truths and standards of Scripture, all undertaken through prayerful submission of the leading of God. We offer a response to your personal or family needs based on the understanding that God is close to the broken hearted, gives strength to the weary and hope for the hurting.
INFORMED CONSENTCounseling Agreement • May 10th, 2023 • Mara
Counseling AgreementCounseling 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.
By reading & signing this, you are agreeing to its terms and agree to follow the guidelinesCounseling Agreement • January 23rd, 2019
Lay-counseling sessions are 50 min in a private room at our church with one of our lay-counselors. These godly men and women are not trained professionals, but gifted and trained Christian lay-counselors who are non-judgmental, compassionate and caring individuals. They understand the truth of God’s Word (the Bible) and how it can be applied to everyday life. They understand the power of God to heal the inner self and redeem situations. They are great listeners and want to walk with you through your presented needs while offering hope in Christ.
COUNSELING AGREEMENTCounseling 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.
Patricia E. (Pat) Gossett, M.A., LPC Phone: 214-909-0829 Fax: 972-525-8536Counseling Agreement • July 8th, 2022
Please read this document carefully as it contains important information that affects you and our professional relationship.
Counseling Agreement • Kirsten M. Lundeberg, LPC, LMFT 3923 Old Lee Highway, Suite 63 DCounseling Agreement • September 6th, 2020
Patricia E. (Pat) Gossett, M.A., LPC Phone: 214-909-0829 Fax: 972-525-8536Counseling Agreement • July 26th, 2021
Please read this document carefully. It contains important information that affects you and our professional relationship.
Lay Counseling MinistryCounseling Agreement • October 6th, 2020
The following is a standard agreement for everyone seeking counsel from Christ Community Church through the lay counseling ministry. If you have any questions about this agreement, then please ask the counseling ministry staff. The men and women who provide biblical counsel seek to serve people according to the truth and grace of God’s Word. They have been trained under the biblical counseling ministry of Christ Community Church and are overseen by CCC leaders/pastoral staff. In most cases, they do not hold a degree of higher education in counseling or a license in the State of North Carolina, but most do hold a Certificate for completing a lay counseling training course.
COUNSELING AGREEMENTCounseling 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.
Watershed Professional Disclosure Statement and Counseling Agreement Travis D. Hutchinson, MDiv, STMCounseling Agreement • July 10th, 2023
Sample Agreement Letter: Customize to your own needsCounseling Agreement • October 3rd, 2018
Welcome to Financial Recovery Counseling. You are embarking on an exciting and powerful process. This letter contains important information regarding your appointment, the fee/payment, and my cancellation policy. I ask that you read it carefully. I welcome any questions you may have.
Landrum Counseling & Consulting, PLLC. Angel Landrum, MA LPC, LCDC, MAC 3839 Bee Caves Rd Suite 202 Austin, TX 78746Counseling Agreement • November 10th, 2020
This document (the Agreement) contains important information about my professional services and business policies. When you sign this document, it will represent an agreement between us. You may revoke this Agreement in writing at any time. That revocation will be binding on me unless I have already taken action in reliance on this Agreement, if there are obligations imposed on me by your health insurer in order to process or substantiate claims made under your policy, or if you have not satisfied any financial obligations you have incurred with me.
Consent & AgreementCounseling Agreement • May 26th, 2022
I/we desire to receive counseling and ministry from the counseling ministry at Headwaters Church. I/we make the following acknowledgements and agreements and provide the following consents:
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.
Journeys CounselingCounseling Agreement • November 13th, 2017
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.
ANTHROPOS COUNSELING AGREEMENTCounseling Agreement • January 10th, 2018
As we begin working together, it is important that you understand Anthropos’ policies. Please read these sections carefully, the information will be beneficial to you. 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.
FAMILY THERAPEUTICS, INC 10353B Democracy Lane, Fairfax, VA 22030Counseling Agreement • February 18th, 2019
THERAPIST-CLIENT SERVICE AGREEMENT: Welcome to my practice and thank you for choosing Family Therapeutics for your counseling needs. This document contains important information about my professional services and business policies.
Fash Counseling Agreement & Policies Informed ConsentCounseling Agreement • October 15th, 2020
Welcome to Fash Counseling. This document contains important information about our professional services and business policies. Today’s appointment will take approximately 50-60 minutes. We realize that starting counseling is a major decision and you may have many questions. This document is intended to inform you of our policies, State and Federal Laws and your rights.
Elevation CounselingCounseling Agreement • August 27th, 2024
Our goal as Lay Counselors with Elevation Counseling is to help you meet the challenges of life with biblical wisdom so you can live and love in a Christ-centered way. We believe that the Bible speaks into all of life’s problems, so we will apply the depth of God’s message of grace and hope to the problems of daily living. Real and lasting change occurs when people know themselves and their problems within a living and vital relationship with Jesus Christ, therefore, our counseling is based on scriptural principles rather than those of secular psychology or psychiatry.
COUNSELING AGREEMENTCounseling Agreement • May 17th, 2012
The Goal of New Life CounselingCounseling 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, BCPCCCounseling Agreement • January 31st, 2022
Prevail Consulting LLCCounseling Agreement • January 27th, 2016
Welcome to Prevail Counseling LLC. This document contains important information regarding office policies, your rights and expectations. Please feel free to discuss any questions you may have about any of the information below with your therapist, Elaine M. Grubb, MEd, LPCC, LICDC.
