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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the Client's name in the designated field. This ensures that the document is personalized and accurately reflects the individual receiving counselling.
- If applicable, fill in the Guardian's name. This is important for minors or individuals who require a guardian's consent.
- Next, sign in the Client's (or guardian's) signature field. This confirms acknowledgment of the counselling received.
- Enter the date of signing in the format YYYY-MM-DD to maintain consistency and clarity.
- Fill in the Counsellor's name and signature fields to validate that professional guidance was provided during counselling.
- Lastly, include the IME number and Panel Physician details as required for official documentation purposes.
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