Therapy/Counseling Consent

Healthcare

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.

Therapy Counseling Consent

Disclaimer: This template is provided for informational purposes only and does not constitute legal advice. Consult a qualified legal professional before using any legal document.

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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.

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

Frequently Asked Questions

What is a 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.

What should a Therapy/Counseling Consent include?

A comprehensive therapy/counseling consent should include: treatment description, confidentiality and limits, session policies, emergency procedures, client rights.

When do I need a Therapy/Counseling Consent?

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.

Is this template legally binding?

Templates provide a strong starting point, but we recommend having important agreements reviewed by a qualified attorney in your jurisdiction to ensure they meet local legal requirements.

Can I customize this template?

Yes — all bracketed [placeholder] fields can be replaced with your specific information. You can also add, remove, or modify clauses to fit your particular situation.

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