Informed Consent & Counseling Agreement Sample Contracts

INFORMED CONSENT & COUNSELING AGREEMENT
Informed Consent & Counseling Agreement • December 30th, 2019

Thank you for choosing Healing Minds Behavioral Health. We realize that engaging in counseling is a major decision and you may have many questions. This document is intended to inform and introduce you to Healing Minds Behavioral Health, PLLC, a mental health/counseling private practice for children, adolescents, and families. Here you will find information on our record keeping practices, our policies, the risks and benefits of counseling, our therapeutic approach, the nature and expectations of a professional counseling relationship between counselor and client, and other important topics. If you have other questions or concerns, please ask and we will try our best to give you all the information you need.

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Informed Consent & Counseling Agreement
Informed Consent & Counseling Agreement • 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.

Anthony Thomas Marriage Menders of Raleigh
Informed Consent & Counseling Agreement • January 28th, 2022
INFORMED CONSENT/COUNSELING AGREEMENT
Informed Consent/Counseling Agreement • May 9th, 2018

Your counselor at Anew Family Counseling Center (AFCC) has a responsibility to safeguard information about you obtained during counseling. All identifying information about your assessment and treatment is kept confidential, except as mandated by law. A signed release will be obtained from you for release to sources not mandated by law. In some circumstances, mental health professionals are required by law to reveal information obtained during therapy to other persons or agencies without your written consent. In such situations, AFCC is not required to inform you of this release. Please note the following exceptions to confidentiality:

Informed Consent & Counseling Agreement
Informed Consent & Counseling Agreement • 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 CONSENT & COUNSELING AGREEMENT
Informed Consent & Counseling Agreement • October 20th, 2022

Thank you for choosing Healing Minds Behavioral Health. We realize that engaging in counseling is a major decision and you may have many questions. This document is intended to inform and introduce you to Healing Minds Behavioral Health, PLLC, a mental health/counseling private practice for children, adolescents, and families. Here you will find information on our record keeping practices, our policies, the risks and benefits of counseling, our therapeutic approach, the nature and expectations of a professional counseling relationship between counselor and client, and other important topics. If you have other questions or concerns, please ask and we will try our best to give you all the information you need.

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