Get the free Agreement to Extend Counseling - dss
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This document serves as a memorandum allowing an individual to extend their counseling period by agreeing to additional time for completion of counseling related to EEO matters.
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How to fill out agreement to extend counseling
How to fill out Agreement to Extend Counseling
01
Obtain the Agreement to Extend Counseling form from your counselor or mental health provider.
02
Read the document carefully to understand its terms and conditions.
03
Fill in your personal information, such as your name, date of birth, and contact details.
04
Specify the reasons for requesting an extension of counseling services.
05
Indicate the desired duration for the extension.
06
Sign and date the agreement to confirm your consent.
07
Submit the completed form to your counselor or mental health provider.
Who needs Agreement to Extend Counseling?
01
Individuals currently receiving counseling services who require additional support beyond the original agreement period.
02
Clients whose circumstances have changed and need ongoing counseling.
03
Patients transitioning through different phases of care that may necessitate extended counseling.
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What is Agreement to Extend Counseling?
The Agreement to Extend Counseling is a formal document that allows individuals to continue receiving counseling services beyond an initial period, ensuring ongoing support and guidance.
Who is required to file Agreement to Extend Counseling?
Individuals who wish to prolong their counseling services beyond the initial term are typically required to file the Agreement to Extend Counseling.
How to fill out Agreement to Extend Counseling?
To fill out the Agreement to Extend Counseling, individuals should provide their personal information, specify the duration of the extension, and sign the document to acknowledge their acceptance of the terms.
What is the purpose of Agreement to Extend Counseling?
The purpose of the Agreement to Extend Counseling is to formalize the commitment to continue counseling services, ensuring that both the counselor and client are aware of the terms regarding the extension.
What information must be reported on Agreement to Extend Counseling?
The Agreement to Extend Counseling typically requires reporting the client's identification information, the reason for extension, the duration of the new counseling period, and any applicable terms and conditions.
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