Informed Consent & Counseling AgreementInformed Consent • November 3rd, 2020
This document is intended to inform you about Olive Branch Counseling and Training, our record keeping practices, fees for service, disclosure of health information, and the nature and expectations of a professional counseling relationship between counselor and client.
This Agreement contains important information about my professional services and business policies. When you sign this document, it will also represent an agreement between you as the client and me as your service provider.Informed Consent • November 12th, 2021
The mental health service you elected me for is psychological, developmental, or neuropsychological testing or evaluation. Testing usually includes some combination of interview with the client and third parties in which relevant history is gathered, a records review, subjective rating forms completed by the client/parent/relevant third party, objective testing, test scoring, test data interpretation, report writing, and feedback.
INFORMED CONSENTInformed Consent • May 5th, 2022
The modalities of outpatient psychotherapy utilized in my office are widely accepted forms of psychological treatment. As with all forms of clinical treatment however, there are risks to be considered in the process of making an informed decision. This form is designed to inform you of these risks as well as the potential benefits of outpatient therapy, and to discuss the general policies and procedures of my office.
INFORMED CONSENTInformed Consent • May 10th, 2023 • Mara
INFORMED CONSENT AGREEMENT TO PARTICIPATE IN THE HEALTH CAREERS FOR ALL (HCA) LOCAL PROJECT EVALUATIONInformed Consent • October 3rd, 2011
Health Careers for All is a local project of the national Health Professions Opportunity Grant (HPOG) initiative sponsored by the U.S. Department of Health and Human Services (HHS). The project is designed to improve access to training and employment in healthcare occupations for TANF recipients and other low-income individuals. Health Careers for All is led by the Workforce Development Council of Seattle-King County in conjunction with TRAC Associates and community partners.
INFORMED CONSENTInformed Consent • November 13th, 2020 • Mara
INFORMED CONSENTInformed Consent • March 2nd, 2020
The modalities of outpatient psychotherapy utilized in my office are widely accepted forms of psychological treatment. As with all forms of clinical treatment however, there are risks to be considered in the process of making an informed decision. This form is designed to inform you of these risks as well as the potential benefits of outpatient therapy, and to discuss the general policies and procedures of my office.
Adult Informed ConsentInformed Consent • July 28th, 2018
Informed Consent & Counseling AgreementInformed Consent • July 22nd, 2020
This document is intended to inform you about Olive Branch Counseling and Training, our record keeping practices, fees for service, disclosure of health information, and the nature and expectations of a professional counseling relationship between counselor and client.
INFORMED CONSENTInformed Consent • November 7th, 2020
Informed ConsentInformed Consent • December 3rd, 2010
Participation in counseling/therapy/consulting can result in a number of benefits to you, including improving interpersonal relationships and resolution of the specific concerns that led you to seek therapy. Working toward these benefits requires effort on your part. Psychotherapy requires your very active involvement, honesty and openness in order to change your thoughts, feelings and/or behavior. You will often be asked for your feedback and views on your therapy, its progress and other aspects of the therapy. You are expected to respond openly and honestly. Sometimes more than one approach can be helpful in dealing with a certain situation. During evaluation or therapy, remembering or talking about unpleasant events, feelings or thoughts can result in your experiencing considerable discomfort or strong feelings of anger, sadness, worry, fear, etc. or experiencing anxiety, depression, insomnia, etc. You may be challenged by some of your assumptions or perceptions or propose different
INFORMED CONSENTInformed Consent • May 7th, 2020
Thank you for choosing to use the facilities, services, and programs of Gina Baumgartner of PRO Health & Fitness, LLC. I request your understanding and cooperation in maintaining both yours and my safety and health by reading and signing the following informed consent agreement.
