Office Policies & General Information Agreement for Reunification Counseling ServicesOffice Policies & General Information Agreement • September 12th, 2020
CONFIDENTIALITY: All information disclosed within sessions and the written records pertaining to those sessions are privileged and confidential and may not be revealed to anyone without your (client’s) written permission, except where disclosure is required by law. A brief summary and conclusion report may be required for the courts at the conclusion of reunification therapy.
Office Policies & General Information Agreement For Psychotherapy ServicesOffice Policies & General Information Agreement • August 1st, 2011
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 when disclosure is required by law. Most of the provisions explaining when the law requires disclosure are detailed in the Notice of Privacy Practices that you received with this form.
CLIENT: THERAPIST:Office Policies & General Information Agreement • July 29th, 2015
EXPECTATIONS: Psychotherapy can be helpful in a variety of ways, including to assist you with the psychological adjustments that can be associated with childhood traumas, the transition to adulthood (including in the areas of education, employment and relationships with others), intimate relationships, child- rearing, parenting, divorce, co-parenting, aging, care-giving, illness, disability, addiction and loss. It can be helpful in alleviating the symptoms of depression and anxiety, and help you develop additional coping and problem solving skills or strategies. It can be used on a short-term basis to address specific needs and concerns, or on an on-going basis, to pursue more comprehensive self-awareness, personal development, change and well-being.
Office Policies & General Information, and Agreement for Psychotherapy ServicesOffice Policies & General Information Agreement • January 27th, 2022
Welcome to the practice of Miriam Wolosh Ph.D.. I am looking forward to working with you and your family. Please read thru the following general information and office policies and sign the agreement on the last page. Please don’t hesitate to ask me any questions you might have about this material.
