AGREEMENT BETWEEN CLIENT AND THERAPIST INCLUDING HIPAA-MANDATED NOTICE OF PRIVACY PRACTICESTherapist-Client Agreement • November 3rd, 2021
Welcome to my practice. Let me first say that I am pleased that you have selected me as your counselor. This document is designed to inform you about my background, the professional services I offer, to share information that can provide an initial guide for entering into psychotherapy, and to tell you about my business practices.
Therapist-Client AgreementTherapist-Client Agreement • June 26th, 2019
Welcome to TPC (Triangle Pastoral Counseling, Inc.). The mission of TPC is to be a professional extension of the counseling ministries of the spiritual and faith communities of the Triangle area. Because we believe that each person's emotional and spiritual journeys are closely intertwined, we provide counseling, psychotherapy, consultation, and education that integrate spiritual and psychological perspectives into our healing work.
Client # _______________Therapist-Client Agreement • April 8th, 2020
In our efforts to provide services that are safe and respectful, therapists and clients are asked to review and clarify mutual expectations. Your initials next to each statement and your signature at the bottom indicates your understanding of, and commitment to compliance with these expectations. The form will be kept on file, with a copy provided at your request. Thanks.
Therapist – Client AgreementTherapist – Client Agreement • February 11th, 2019
Welcome to my practice. This document contains important information about my professional services and business policies. Please read it carefully and jot down any questions that you might have so that we can discuss them now or at our next meeting. Once you sign this, it will constitute a binding agreement between us. I apologize in advance if some of it sounds harsh. It is written in “legalese” an unfortunate consequence of the litigious society in which we now live.
THERAPIST-CLIENT AGREEMENT: PREMARITAL COUNSELINGTherapist-Client Agreement • August 27th, 2022
Welcome! I am glad that you are here. Regardless of the stage of your relationship, the brave step you and your partner are currently taking by seeking counseling will serve you well as
Therapist Client AgreementTherapist Client Agreement • March 10th, 2015
Although these documents are long and sometimes complex, it is very important that you read them carefully before our session. We can discuss any questions you have about the procedures at that time. When you sign this document, it will also represent an agreement between us. You may revoke this agreement in writing at any time. That revocation will be binding on me unless we have taken action in reliance on it or if you have not satisfied any financial obligations you have incurred.
IME BEHAVIORAL HEALTH, LLC INFORMED CONSENTTherapist-Client Agreement • April 15th, 2022
Welcome to the practice! This document contains important information about our professional services and business policies. When you sign this document, it will also represent an agreement between us. We can discuss any questions you have when you sign this or at any time in the future.
ContractTherapist-Client Agreement • March 8th, 2022
Welcome to Tahoe Treatment Center. This Therapist-Client Agreement contains important information about my professional services and business policies. Please read it carefully. If you have any questions, please ask me.
Therapist – Client Agreement Waterloo Counseling CenterTherapist – Client Agreement • October 28th, 2020
Individual, Family and Couple therapy sessions are about an hour long. In most cases, you will have a regular time and day weekly when you see your therapist. If no therapy session occurs for a month or more, your case will be closed. We welcome and expect your active involvement in your therapy.
ALLEN LAMBERT, LCSW-S, CGP THERAPIST – CLIENT AGREEMENTTherapist-Client Agreement • January 23rd, 2022
Christopher Chappell, MA, MS, LMHC (license #0135661) Therapist-Client AgreementTherapist-Client Agreement • November 4th, 2020
Voluntary Participation and Client Responsibility. You (the client) are aware that you choose to begin counseling and you can choose to discontinue being in counseling at any time. As a participant in counseling, you understand that you are fully responsible for your well-being during and after the sessions including your own choices and decisions. You acknowledge that all decisions regarding any issues in your life and the choices that you make are exclusively your responsibility.
LIFESKILLS COUNSELING SERVICESTherapist-Client Agreement • March 27th, 2014
Agreement Between Client and TherapistTherapist-Client Agreement • July 18th, 2011
Shantala Boss, MS, LMHC, RPT Client name/DOB:Therapist-Client Agreement • February 15th, 2016
AGREEMENT BETWEEN CLIENT AND THERAPISTTherapist-Client Agreement • August 31st, 2020
The following is an agreement entered into between Hope & Freedom Counseling Services, Tina Wehner, MTSC, LCMHCS, CSAT-S, CHFP and as client(s).
