informed consent for online couples therapy

Informed Consent for Online Couples Therapy

Participant 1

First name

Last name

Phone

Participant 2

First name

Last name

Phone

DISCLOSURE

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

Full disclosure is typically encouraged in couple's 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

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 therapy, and only with a signed release of information form can others, such as family members or insurers, inquire about my sessions.

Any other information you wish to add.

Any other information you wish to send.

Signature

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