Consent
Child Therapy Contract

This form can be used when treating children to explain the responsibilities of the therapist in providing therapy to children or teens. (0623, therapy contract)

Information Sharing Consent Form

This form can be used by mental health professionals to get consent to share personal information, including health records, with others. (0522, practice management forms, confidentiality, permission)

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)