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Counseling Consent Form

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Counseling Consent Form

Add your school's info and letterhead

Page 1

Please read and sign the following consent form

Email*

Student Name*

Parent/Guardian Name*

Date*

Reason for Counseling*

Consent to Counseling*

I give my consent for the student to receive counseling services.

Confidentiality*

I understand that counseling sessions are confidential and that information will not be shared without my consent, except in cases where there is a threat of harm to myself or others.

Release of Information

I give my consent for the counselor to communicate with school staff, parents/guardians, and outside professionals as needed to provide appropriate services.

Description:Use this Counseling Consent Form template to obtain consent from students or clients before providing counseling services. Customize the template by adding your school's information and letterhead.

Are you a school counselor or a licensed therapist looking for a counseling consent form to use with your clients? Look no further than this customizable Counseling Consent Form template. This form is designed to obtain consent from students or clients before providing counseling services. The form includes fields for personal information, the reason for counseling, confidentiality agreements, and more. To make the form your own, simply add your school's information and letterhead. With this template, you can ensure that you have obtained proper consent before providing counseling services.

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