Karen Osterle, MSSA, LICSWInformed Consent Agreement for Psychotherapy Services • May 18th, 2023
Welcome to my practice. Your first visit to a new therapist is very important. Please take time to read this document carefully and let me know if you have any questions or need more information. When you sign this document, it will represent an agreement between us.
Informed Consent & Agreement For Psychotherapy ServicesInformed Consent & Agreement for Psychotherapy Services • December 1st, 2021
This document provides important information to you regarding your treatment. Please read the entire document carefully and ask me any questions that you may have before signing it.
ContractInformed Consent & Agreement for Psychotherapy Services • October 27th, 2017
Introduction. This document is intended to provide important information to you regarding your treatment at The OCD & Anxiety Center (OAC). Please read the entire document carefully and be sure to ask your Provider any questions that you may have regarding its contents before signing it. You may have questions about your Provider, your Provider’s qualifications, treatment, or anything not addressed here. It is your right to have a complete explanation for any questions you may have, now or in the future. Please feel free to ask questions or share any concerns that may arise. Although your Provider knows this may be uncomfortable at times, your openness and honesty will allow your Provider to better serve you.
Cheryl Outen, PhD, LPCInformed Consent & Agreement for Psychotherapy Services • December 16th, 2020
INFORMED CONSENT & AGREEMENT FOR PSYCHOTHERAPY SERVICESInformed Consent & Agreement for Psychotherapy Services • July 10th, 2020
Welcome to Covenant Counseling & Family Resource Center (CCFRC). This brief guide presents some of the basic information that will help you understand CCFRC and facilitate our work together.
Informed Consent & Agreement for Psychotherapy ServicesInformed Consent & Agreement for Psychotherapy Services • August 11th, 2021
This document is intended to provide important information to you regarding your treatment. Please read the entire document carefully and be sure to ask me any questions that you may have regarding its contents before signing it. You may have questions about me, my qualifications, therapy, or anything not addressed here. It is your right to have a complete explanation for any questions you may have, now or in the future. Please feel free to ask questions or share any concerns that may arise. Although I know this may be uncomfortable at times, your openness and honesty will allow me to better serve you. Information about Your Therapist. Whenever you wish, I will discuss my professional background with you and provide you with information regarding my experience, education, special interests, and professional orientation.
Informed Consent & Agreement for Psychotherapy ServicesInformed Consent & Agreement for Psychotherapy Services • December 3rd, 2020
CONSENT FOR TREATMENT: I hereby agree that I am entering treatment, or that my minor age child is entering treatment, with Susan BaileyKadin, MA, LMFT, lic.19874. I authorize and request that my treating provider carry out mental health examinations, treatments, and/or diagnostic procedures which now or during the course of my care are advisable. I understand that the purposes of these procedures will be explained to me upon my request and subject to my agreement. I also understand that while the course of therapy is designed to be helpful, it may at times be difficult and uncomfortable. I am encouraged to discuss with the therapist any questions/concerns about my treatment. I agree to the following terms and policies:
Cheryl Outen, PhD, LPC, NCCInformed Consent & Agreement for Psychotherapy Services • February 11th, 2022
Basic Bliss Life Coaching & Counseling, LLCInformed Consent & Agreement for Psychotherapy Services • August 30th, 2017
By signing this document, you acknowledge that you fully understand the policies and procedures and that “you”, herein referred to as “the client” have the right to question any policies, procedures or approaches to therapy that you do not understand.
AGREEMENT FOR PSYCHOTHERAPY SERVICESInformed Consent Agreement for Psychotherapy Services • May 2nd, 2022
Participation in therapy can result in several benefits, including resolution of the concerns that led you to seek therapy. Working towards these benefits requires your honesty, openness and active involvement. As therapy progresses, we will discuss it’s effectiveness for you. It is expected that you will provide honest feedback about your progress and your views of therapy. Discussing the issues that brought you into therapy can result in discomfort (fear, sadness, anger, anxiety, etc). You may be challenged in some of your perceptions and suggest different ways of looking at or handling situations. This also may cause you to feel discomfort (disappointment, anger, etc). Sometimes, as you are working towards resolution of your personal issues, it may feel that the issues “get worse” before “getting better.” This is a normal part of the therapeutic process. During the course of therapy, your therapist will utilize various psychological approaches, depending on the problems being treate
OFFICE POLICIES, INFORMED CONSENT & AGREEMENT FOR PSYCHOTHERAPY SERVICESInformed Consent & Agreement for Psychotherapy Services • January 7th, 2021
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.
Louise Moore, MFT #50623 7 4th Street Ste 13Informed Consent & Agreement for Psychotherapy Services • May 20th, 2022
Introduction. This document is intended to provide important information regarding your treatment. Please read the entire document carefully and be sure to ask me any questions that you may have regarding its contents before signing it. You may have questions about me, my qualifications, therapy, or anything not addressed here. It is your right to have a complete explanation for any questions you may have, now or in the future. Please feel free to ask questions or share any concerns that may arise.
INFORMED CONSENT AGREEMENT FOR PSYCHOTHERAPY SERVICESInformed Consent Agreement for Psychotherapy Services • August 28th, 2020
Your appointments are weekly unless otherwise agreed upon. Standard sessions for couples are 1 hour and 15 minutes in length. Standard sessions for individuals are 1 hour.
Informed Consent & Agreement for Psychotherapy ServicesInformed Consent & Agreement for Psychotherapy Services • January 2nd, 2013
CONSENT FOR TREATMENT: I hereby agree that I am entering treatment, or that my minor age child is entering treatment, with Susan BaileyKadin, MA, LMFT, lic.19874. I authorize and request that my treating provider carry out mental health examinations, treatments, and/or diagnostic procedures which now or during the course of my care are advisable. I understand that the purposes of these procedures will be explained to me upon my request and subject to my agreement. I also understand that while the course of therapy is designed to be helpful, it may at times be difficult and uncomfortable. I am encouraged to discuss with the therapist any questions/concerns about my treatment. I agree to the following terms and policies:
