Family Therapy Consent Form

Canada Online Therapy offers the best online family therapy, providing high-quality, effective counseling with guaranteed satisfaction.

Our online family therapy consent form ensures informed consent, confidentiality agreements, emergency contact information, and legal rights regarding treatment limitations and protections.

Thank you for your trust and the privilege to work with you.

Family Therapy Consent Form

PERSONAL INFORMATION

First name

Last name

Phone

ONLINE FAMILY THERAPY PARTICIPANTS & DISCLOSURE

List therapy participants' first and last names for online family therapy.

I understand that family therapy may include dyads, individual sessions, or whole family sessions, depending on what therapy requirements unfolds.

Full disclosure is typically encouraged in family therapy to foster transparency and trust among all participants, although extenuating circumstances may affect the level of disclosure in certain situations.

INFORMED CONSENT

Informed consent for therapy is the process where a client is fully informed about the nature, goals, risks, and confidentiality policies of treatment, and voluntarily agrees to participate.

CONFIDENTIALITY

Confidentiality agreements in therapy and counseling ensure that all information shared by the client during sessions is kept private, with exceptions only for legal requirements or imminent harm concerns.

EMERGENCY CONTACT

Emergency contact information in counseling and psychotherapy requires providing the client’s emergency contacts, such as family members or trusted individuals, to be reached in case of a crisis or urgent situation.

COUNSELLING & PSYCHOTHERAPY GUIDELINES

I understand there are boundaries of what my therapist can provide, such as not offering certain types of care outside her scope of work, or handling specific legal or medical issues not appropriate for therapy services.

I, the client, reserve my rights to protection and freedom during therapy, such as the right to confidentiality, to make informed decisions, and to end therapy at any time.

I understand my therapist reserves the right to terminate sessions if there is rudeness or aggression directed at my therapist, or if the environment feels unsafe or unproductive for therapy.

I understand that my right to confidentiality is maintained during family therapy, and only with a signed release of information form can my insurers inquire about who attended my sessions.

Any other information you wish to send.

Any other information you wish to add.

Signature

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