Our Commitment to you.

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We welcome you as a new client and look forward to working with you!  The purpose of this form is to let you know about our approach to counseling, and what you can expect from counseling.  This form will also give you an opportunity to give consent for counseling.

 

 

Individual/ Marital/ Family counseling offers you a chance to express ideas and concerns to better understand your situation and to learn new ways to solve problems. At times, you might experience feelings that are uncomfortable and hard to face, and that’s ok. We will communicate with each other so we can work at a pace that will work best for you. I will do my best to provide an accurate and fair assessment that will help guide our treatment planning and goal setting. 

 

Everything you discuss with me will be kept confidential between, you, me, and anyone you have given written permission for me to release information to, except matters pertaining to (1) suicide and harm to another person, (2) physical/sexual abuse or neglect of minors, persons with disabilities and the elderly, (3) subpoena, and (4) anything else required by law.  For those matters, legally and/or ethically, I would have to break confidentiality and involve others. 

 

As far as session fees, all service prices are listed on our website, creativecounselingnetwork.org. Payment will be required at time of booking a session. We have a 4 consistent session minimum. We know in order to help you reach the goals you are trying to obtain, 1-2 visits will not get us there. If there are any concerns regarding price, please discuss this with me immediately, so we can work through a solution.

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Your Agreement

                                                     

 

I  have chosen to receive services from The Creative Counseling Network, Inc.  My choice has been voluntary, and I understand that I am agreeing to all of the policies that I have been given and that are also listed on the organization's public website.

 

I understand coaching/counseling is a cooperative effort between my coach/counselor and I. I will work in a cooperative manner to resolve my difficulties.  I also understand that during sessions , material may be discussed which will be upsetting in nature and that this may be necessary to help me resolve my problems.  I understand that records and information collected about me will be held in confidence with the staff, and released only in accordance with governing law regarding confidentiality of such records and information or upon written, signed, informed consent received from me.

 

I understand that my coach/counselor is required by law to report all cases of abuse or neglect of minors or vulnerable adults to the appropriate authorities.  I also understand that my coach/counselor is required to report and/or respond to all situations in which I may pose a danger to others or myself or be unable to care for myself.  I understand that there may be other circumstances in which the law requires my coach/counselor to disclose confidential information.

 

I understand that my coach/counselor will counsel me in the framework of a Biblical perspective.

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I fully understand what I have just read and offer my consent for individual, marriage or family coaching counseling

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By entering my name below, I am agreeing to the terms listed above and to receiving phone calls and text messages from the Creative Counseling Network/ Grief Compassion Network.