· Goals of therapy
· Services counselor will provide
· What is expected of the client
· Risks and benefits of therapy
· Academic and professional qualifications of the provider
· Financial considerations – should be in line with area. Payment at time of meeting? Billed? Informed about expected payments?
· Expected duration of therapy
· Limitations of confidentiality
· Occasions referral may be needed
· Situations of mandatory reporting
· Any supervisory or consulting arrangements
· No guarantees
· Counselor approach(es) and qualifications to do so (e.g., systems approach – licensed as a MFT)
· How to access ethical guidelines and report malpractice
· Necessary reporting for insurance
· Cancellation of appointment policy
· Emergency contact information
· Accessibility of client records and their storage
· Arrangements in case of counselor being unavailable due to vacation, illness or death
· Statement to sign and date giving consent
Content of the Informed Consent
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