Psychotherapy Consent Form (In-person)
Introduction:
This consent form provides important information about the psychotherapy services we offer, including individual and group therapy. Please read this document carefully and ask any questions you may have before signing.
1. Purpose of Therapy:
Psychotherapy aims to support individuals in understanding and managing their emotions, thoughts, and behaviors. It can help with various concerns, including mental health issues, personal growth, and relationship difficulties.
2. Individual Therapy:
In individual therapy, you will meet one-on-one with a licensed therapist. The focus will be on your personal issues and goals.
3. Group Therapy:
In group therapy, you will participate in a therapy session with a group of individuals who have similar concerns or goals. Group therapy offers support from peers and facilitates shared learning and growth.
4. Confidentiality:
All information shared during therapy sessions is confidential and will not be disclosed to others without your consent, except in the following circumstances:
If there is a risk of harm to yourself or others.
If there is a suspicion of abuse or neglect.
If required by law or legal proceedings.
5. Risks and Benefits:
Therapy can provide significant benefits, such as improved emotional well-being and better coping skills. However, it may also involve discussing difficult or uncomfortable issues. There are no guaranteed outcomes, and progress may vary from person to person.
6. Participation:
Your participation in therapy is voluntary. You have the right to withdraw from therapy at any time. If you choose to do so, please discuss this with your therapist.
7. Fees and Payment:
Please refer to the attached fee schedule for information on session costs and payment policies. Payment is expected before the time of service unless otherwise arranged.
8. Cancellation Policy:
Please provide at least 24 hours’ notice if you need to cancel or reschedule an appointment. A fee may be charged for missed or late-cancelled appointments.
9. Consent:
By clicking the box you acknowledge that you have read and understood the information provided. You consent to participate in individual and/or group therapy and agree to the terms outlined above.