Consent
Parental Consent for Treatment of Minors

This form can be used when working with children and teens in individual treatment. It is recommended that clinicians meet with the parents/guardians, and then with the children or teens, as appropriate to their developmental level. This will assist discussions with the child regarding confidentiality, information sharing, and records access. (0720)

Telehealth Group Counseling Agreement

This form can be given to clients who are participating in group counseling via a telehealth platform. It reviews the nature of online groups, confidentiality, safety, and the risks and benefits of these services. (0720)

Policy for Treating a Child of Divorced, Separated, or Unmarried Parents

This form outlines the terms and conditions when treating a child of divorced, separated, or unmarried parents. (0720)

Consent for Treatment Using Exposure Therapy

The purpose of this form is to request the client’s consent for exposure therapy treatment. (0720)

Consent to Use Touch in Therapy

This form allows a client to offer consent for the therapist to use touch in therapeutic work to benefit healing. (0720)

Consent to Record Therapy Session

This form allows the client to consent to recording of therapy sessions (audio or video). (0720)

Guest Therapy Consent

The purpose of this form is to allow a guest to participate in a therapy session as a third-party participant. (0720)

Client Rights

This form outlines client rights. (0720)

Child and Adolescent Counseling Agreement

This form is designed to be given to older children and adolescents at the beginning of counseling to orient them to the basic purposes of therapy. (0720)

Authorization to Use Unencrypted Email and Text

This document is to ensure clients are aware that email and/or text communications are not encrypted (coded) and therefore are not secure communications. (0720)