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Thriving Families 1230 NE 3rd St, Ste A160 Bend, OR 97701 (541) 6686891 INFORMED CONSENT AGREEMENT 1. Treatment Agreement Welcome to my practice. This Informed Consent Agreement (Agreement) contains important
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Start by carefully reading through the entire thriving families informed consent form.
02
Make sure you understand all the contents and any terms or language you may be unfamiliar with.
03
Fill out your personal information accurately, such as your name, address, and contact details.
04
Provide any additional requested information related to your family and its members.
05
Review the consent statements thoroughly and ensure you agree with each one before signing.
06
Date the form at the designated space to indicate when you filled it out.
07
If necessary, provide any required signatures from other family members or legal guardians.
08
Make a copy of the completed form for your records.
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Submit the filled-out informed consent form to the appropriate recipient or organization.

Who needs thriving families informed consent?

01
Anyone who wishes to engage in services or programs provided by Thriving Families would need to fill out the informed consent form.
02
This includes individuals or families seeking counseling, therapy, support, or participating in any other initiatives offered by Thriving Families.
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Thriving families informed consent is a document that gives permission for information sharing between different parties involved in a family support program.
Parents or legal guardians of children participating in the program are required to file thriving families informed consent.
To fill out thriving families informed consent, parents or legal guardians must provide their contact information, consent to sharing information, and sign the document.
The purpose of thriving families informed consent is to allow for the sharing of information among service providers to better support families in need.
Information such as family contact details, participant names, and consent for information sharing must be reported on thriving families informed consent.
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