Healthcare
Therapy/Counseling Consent
Healthcare consent form establishing therapeutic relationship boundaries, confidentiality limits, treatment goals, and patient rights. Covers emergency procedures, session policies, and ethical guidelines for mental health services.
Key Clauses
1
Treatment Description
Explains the therapeutic approach, methods, and expected benefits and risks.
2
Confidentiality and Limits
Details privacy protections and mandatory reporting exceptions (harm, abuse).
3
Session Policies
Covers session length, frequency, cancellation requirements, and fees.
4
Emergency Procedures
Provides crisis protocols and emergency contact procedures.
5
Client Rights
Informs clients of their right to ask questions, refuse treatment, and terminate therapy.
Use This Template
When You Need This
- A therapist or counselor onboarding new clients with informed consent
- Documenting client understanding of confidentiality limits and mandatory reporting
- Meeting ethical and legal requirements for mental health practice
- Establishing clear session policies and cancellation terms for therapy clients