Informed Consent For PsychotherapyGeneral Information Agreement • October 1st, 2020
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have.
One General Information Agreement to be completed per request)General Information Agreement • January 6th, 2005
OFFICE POLICIES & GENERAL INFORMATION AGREEMENT FOR PSYCHOTHERAPY SERVICESGeneral Information Agreement • December 29th, 2020
CONFIDENTIALITY: All information disclosed within sessions and the written records pertaining to those sessions are confidential and may not be revealed to anyone without your written permission except where disclosure is required by law.
General Information & AgreementGeneral Information & Agreement • July 11th, 2018
Read the following information and sign this vendor agreement. By signing the Vendor Agreement, you acknowledge you have thoroughly read and agree to the regulations:
General Information AgreementGeneral Information Agreement • November 3rd, 2015
Will the data be electonically stored? Yes No If so, what is the storage mechanism? How does the data need to be accessed? (Examples: Online, Download, Hard Copy) Duration that access is required:
Policies & General Information Agreement to Provide Counseling ServicesGeneral Information Agreement • February 21st, 2022
CONFIDENTIALITY: All information disclosed within sessions and the written records pertaining to those sessions are confidential and may not be revealed to anyone without your (client’s) written permission, except where required by law. For clients engaged in couple or conjoint therapy both participants (clients) must give written permission for release of information, except where required by law.
This agreement is intended to provide clients with important information regarding my professional services and business policies. Any questions or concerns regarding the contents of this agreement should be discussed with me prior to signing it.General Information Agreement • April 4th, 2021
Informed consent: You have come to therapy because you want to feel better about something, you want to stop worrying or lessen feelings of anxiety and/or sadness. You will know that therapy is working when these symptoms begin to abate and you start to feel better. However, as we begin to address these issues and explore their origins together you may find that you feel worse before you feel better. This is actually a sign that therapy is working and we are making progress.
Office Policies General Information Agreement for Counseling/Therapy Services and informed Consent for Counseling/TherapyGeneral Information Agreement • April 2nd, 2020
This form provides information that is additional to the Notice of Privacy Practices and it is subject to HIPAA preemptive analysis.
