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CounselorClient Services Agreement Valeria Cotton, MA, LPC Welcome to my practice. This document is intended to provide answers to some questions clients often ask me. It describes how therapy works
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How to fill out 1informed consent and statement

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To fill out the informed consent and statement form, follow these steps:
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Start by reading the entire form carefully to understand its purpose and significance.
03
Provide your personal information accurately in the designated fields, such as your name, address, date of birth, and contact details.
04
Read the content of the informed consent section thoroughly, which explains the nature of the activity or procedure you are consenting to and any associated risks or benefits.
05
If you have any questions or concerns about the activity or procedure, consult with the appropriate individual or professional before proceeding.
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Sign and date the informed consent section once you have understood its contents and agreed to participate or proceed.
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Moving on to the statement section, provide any relevant information or explanations as instructed in the form.
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Double-check all the information you have provided to ensure its accuracy and completeness.
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Finally, sign and date the statement section to acknowledge that the information you have provided is true and accurate to the best of your knowledge.
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Make sure to retain a copy of the filled-out form for your records.

Who needs 1informed consent and statement?

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Informed consent and statement forms are typically required from individuals who are participating in activities or procedures that involve potential risks or consequences. This can include but is not limited to:
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- Medical or surgical procedures
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- Experimental treatments or clinical trials
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- Research studies or surveys
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- Therapeutic or counseling sessions
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- Participation in sports or recreational activities with inherent risks
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In these situations, informed consent and statement forms serve to protect both the individual and the organization or professional responsible for overseeing the activity or procedure.
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Informed consent is permission granted by an individual to participate in a study or project after being informed about its purpose, methods, risks, and potential benefits. The statement outlines the key details of the consent process.
Researchers, scientists, or organizations conducting studies or projects that involve human participants are required to obtain informed consent and file a statement detailing the process.
The informed consent form must be written in clear, understandable language and provide all necessary information for participants to make an informed decision. The statement should include details of how consent was obtained and any relevant ethical considerations.
The purpose of informed consent and the statement is to protect the rights and well-being of participants in research or projects involving human subjects. It ensures that individuals can make an informed decision about participation.
The informed consent and statement should include details about the study or project, the purpose, risks, benefits, procedures involved, confidentiality measures, and contact information for questions or concerns.
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