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CATHOLIC CHARITIES ST. LAWRENCE COMMUNITY SERVICES COUNSELING SERVICE AGREEMENT Please read the following statement carefully to understand CCC procedures. Sign at the bottom to indicate understanding
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How to fill out counseling services agreement

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Who needs counseling services agreement?

01
Individuals who are seeking counseling services from a professional counselor or therapist.
02
Couples or families who are undergoing counseling or therapy together.
03
Organizations or companies that offer counseling services to their employees or clients.
04
Schools or educational institutions that provide counseling services to their students.

How to fill out counseling services agreement:

01
Begin by obtaining a copy of the counseling services agreement form from the counselor or therapy provider. This can usually be done by requesting it from the counselor directly or visiting their website where the form may be available for download.
02
Carefully read through the entire agreement, paying close attention to the terms and conditions, as well as any clauses pertaining to fees, confidentiality, termination, and the scope of the counseling services offered.
03
Provide your personal information accurately and completely. This typically includes your full name, contact details, date of birth, and relevant background information that may be necessary for the counseling process.
04
Specify the purpose of counseling and the goals you hope to achieve through the counseling services. This might include addressing specific issues such as anxiety, depression, relationship problems, or any other concerns you may have.
05
Understand and agree to the fees and payment terms outlined in the agreement. This may include information about session rates, cancellation fees, and any discounts or insurance coverage that may apply. If you have any questions or concerns regarding the fees, it is important to discuss them with the counselor before signing the agreement.
06
Evaluate the confidentiality and privacy policies stated in the agreement. Counseling sessions generally adhere to strict confidentiality guidelines, but it is important to understand the limits to confidentiality, such as instances where the counselor may be obligated to breach confidentiality in cases of imminent harm to yourself or others.
07
Review any clauses related to the termination of services, including the notice period required if you wish to end the counseling relationship or if the counselor deems it necessary to terminate the services for any reason.
08
If you agree to the terms and conditions outlined in the agreement, sign and date the document. Make sure to keep a copy for your records.
09
If there are any additional documents or forms that need to be completed, such as informed consent forms or assessment questionnaires, ensure they are filled out accurately and submitted along with the counseling services agreement.
10
Finally, make any necessary payment arrangements as specified in the agreement, and schedule your initial counseling session or subsequent appointments with the counselor.
By following these steps, you can effectively fill out a counseling services agreement to engage in therapy with a professional counselor or therapist. Remember to always ask any questions or seek clarification if you have any doubts or concerns before signing the agreement.
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A counseling services agreement is a contract between a counselor and a client outlining the terms and conditions of the counseling services being provided.
The counselor and the client are required to file the counseling services agreement.
The counseling services agreement can be filled out by both parties, stating the details of the counseling services, fees, duration, confidentiality agreements, and any other relevant terms.
The purpose of the counseling services agreement is to establish a mutual understanding between the counselor and the client regarding the counseling services being provided.
The counseling services agreement must include information such as the names of the parties involved, contact information, payment terms, confidentiality agreements, and the scope of the counseling services.
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