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Benson Psychological Services, PC 1308 23rd Street S, Suite G Fargo, ND 58103 www.bensonpsychologicalservices.com 7012977540 OUTPATIENT SERVICES CONTRACT 2013 Welcome to Benson Psychological Services,
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How to Fill Out Form-BPS-Informed-Consent-for-Therapy-2013.pdf?

01
Begin by downloading the Form-BPS-Informed-Consent-for-Therapy-2013.pdf from a reliable source or obtain a physical copy from your therapist's office.
02
Open the form using a PDF reader or print it out if you have a physical copy.
03
Carefully read all the instructions and information provided on the form. Make sure you understand the purpose of the form and any terms or conditions mentioned.
04
Start by providing your personal information in the designated fields. This may include your full name, address, contact number, and date of birth. Ensure the information is accurate and up-to-date.
05
Next, read the section titled "Nature, Purpose, and Expected Duration of Therapy." This section explains the type of therapy you will be receiving, its purpose, and how long it is expected to last. If you have any questions or concerns regarding the therapy, it is advisable to discuss them with your therapist before proceeding.
06
Proceed to the section titled "Goals of Therapy." In this section, you will clarify your desired outcomes or goals from the therapy sessions. Take some time to think about your personal objectives and express them clearly and concisely.
07
Review the "Procedures and Techniques" section. Here, you will find information on the methods and techniques that will be used during therapy. It is important to familiarize yourself with these techniques and ensure they align with your preferences and comfort level.
08
Read the section on "Risks and Benefits of Therapy." This portion outlines any potential risks or disadvantages associated with the therapy, as well as the expected benefits. Make sure to understand and acknowledge this information.
09
In the "Confidentiality" section, you will find details regarding the privacy and confidentiality of your therapy sessions. Read this section carefully to understand the limits and exceptions to confidentiality. If you have any concerns or questions regarding privacy, feel free to address them with your therapist.
10
Take note of the "Fees and Payment" section, which provides information on the cost of therapy and the accepted methods of payment. Ensure you are aware of the financial aspects involved and any cancellation policies mentioned.
11
Finally, read the "Informed Consent" section thoroughly. This section serves as your acknowledgment that you have understood the information provided in the form and are willingly consenting to the therapy. If you have any doubts or concerns at this stage, it is crucial to address them with your therapist.

Who needs Form-BPS-Informed-Consent-for-Therapy-2013.pdf?

01
Individuals planning to engage in therapy sessions.
02
People seeking mental health support or treatment.
03
Individuals who have been referred to therapy by a healthcare professional.
04
Clients of therapists or mental health practitioners who require informed consent for therapy.
05
Those wanting to understand the nature of the therapy, its benefits, potential risks, and privacy concerns before commencing treatment.
06
Individuals who want to familiarize themselves with the procedures, techniques, and costs associated with their therapy sessions.
07
Any individual, regardless of age, who wishes to participate in therapy and wants to ensure they are fully informed and provide their consent.
Remember, it is always important to consult with your therapist or healthcare provider for specific instructions and guidance related to filling out Form-BPS-Informed-Consent-for-Therapy-2013.pdf, as requirements may vary based on individual circumstances.
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