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COUNSELING AGREEMENT
Village Presbyterian Church
Dave Lehman, Ph.D.
Licensed Psychologist
This brief document represents an agreement between you, Village Presbyterian Church and Dr.
Dave Lehman,
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How to fill out counseling services agreement
Point by point how to fill out counseling services agreement:
01
Start by obtaining a copy of the counseling services agreement template. You can typically find this document online or through your counseling service provider.
02
Read through the entire agreement carefully to understand all the terms and conditions. Pay attention to any disclaimers or limitations of liability.
03
Fill in your personal information such as your name, address, contact details, and any relevant identification numbers requested in the agreement.
04
If applicable, provide the name and contact information of your counselor or therapist.
05
Carefully review the scope of services section and ensure that it accurately reflects the type of counseling services you are seeking. If there are any specific concerns or goals you have, make sure they are included in this section.
06
If there are any fees associated with the counseling services, make sure to fill in the details regarding payment terms, including the amount, frequency, and method of payment.
07
Review any confidentiality or privacy clauses and understand how your personal information will be handled and protected.
08
If there are any cancellation or termination policies, make sure you understand them and agree to the terms.
09
If required, sign and date the counseling services agreement. Some agreements may also require witnesses or notarization, so make sure to follow the instructions accordingly.
10
Keep a copy of the signed agreement for your records.
Who needs counseling services agreement?
01
Individuals seeking counseling services from a licensed therapist or counselor may need a counseling services agreement.
02
Couples or families seeking couples counseling or family therapy may also need a counseling services agreement.
03
Counseling service providers may require their clients to sign a counseling services agreement in order to establish clear boundaries and expectations for both parties involved. This helps protect the rights and responsibilities of both the counselor and the client.
04
Organizations or businesses that offer counseling services as part of their employee assistance programs or wellness initiatives may also use counseling services agreements to outline the terms and conditions of the services provided.
Remember, it is always advisable to consult with a legal professional or counselor if you have any specific questions or concerns regarding the process of filling out a counseling services agreement.
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What is counseling services agreement?
Counseling services agreement is a contract between a counselor and a client outlining the terms of their counseling services, including payment, confidentiality, and expectations.
Who is required to file counseling services agreement?
Counselors and clients are required to file counseling services agreement.
How to fill out counseling services agreement?
To fill out a counseling services agreement, both parties should provide their personal information, agree on the terms of the counseling services, and sign the document.
What is the purpose of counseling services agreement?
The purpose of counseling services agreement is to clarify the responsibilities and expectations of both the counselor and the client during the counseling sessions.
What information must be reported on counseling services agreement?
Information such as the counselor's credentials, counseling services offered, fees, confidentiality agreement, and cancellation policy must be reported on counseling services agreement.
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