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Consent for Individual Counseling Division of Psychological Services MONTGOMERY COUNTY PUBLIC SCHOOLS Rockville, Maryland 20850 MCPS Form 3391 October 2015 Student Name Date of Birth / / MCPS ID#

How to fill out consent for individual counseling

How to fill out consent for individual counseling:

1. Obtain the consent form from the counseling provider. This can usually be done by requesting it from the front desk or downloading it from their website.
2. Read the consent form carefully to understand the terms and conditions of receiving counseling services. Pay attention to any specific instructions or requirements mentioned.
3. Fill out the necessary personal information sections on the form, such as your full name, date of birth, contact details, and address. Make sure this information is accurate and up to date.
4. Provide any relevant medical history or information about prior counseling experiences, if requested. This can help the counselor better understand your needs and provide appropriate care.
5. Sign and date the consent form to indicate your agreement to the terms and conditions outlined. It is important to understand that counseling is a voluntary process and you have the right to withdraw your consent at any time.
6. If applicable, have a parent or guardian sign the consent form if you are a minor, or if it is required by the counseling provider.
7. Return the completed consent form to the counseling provider by the specified method, such as dropping it off at the office or mailing it.
8. Keep a copy of the signed consent form for your records, as it may be needed for future reference or to verify your agreement to counseling services.

Who needs consent for individual counseling:

1. Typically, anyone seeking individual counseling services needs to provide consent. This includes adults above the legal age of consent and minors who may require parental or guardian consent.
2. Consent is important as it ensures that the individual is fully informed about the counseling process, including the potential benefits, risks, and confidentiality of the sessions.
3. Counseling providers often require consent to establish a clear understanding of the client's needs and expectations and to maintain a professional and ethical therapeutic relationship.
4. Parents or legal guardians may need to provide consent for minors to receive individual counseling services due to legal and ethical considerations, as well as ensuring the best interest of the minor is protected.
5. Consent for individual counseling is an ongoing process and may need to be reviewed and updated periodically, to ensure that the client's needs and preferences are respected.

For pdfFiller’s FAQs

What is consent for individual counseling?

Consent for individual counseling is a form that allows a client to give permission for counseling services to be provided to them.

Who is required to file consent for individual counseling?

Any individual seeking counseling services is required to file consent for individual counseling.

How to fill out consent for individual counseling?

Consent for individual counseling can be filled out by providing personal information, signing and dating the form.

What is the purpose of consent for individual counseling?

The purpose of consent for individual counseling is to ensure that the client understands and agrees to the counseling services being provided.

What information must be reported on consent for individual counseling?

The information reported on consent for individual counseling typically includes personal details, reason for seeking counseling, confidentiality agreements, and signatures.

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