Form online 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Practicum/Internship Instructor's name in the designated field.
3. Fill in the Site of Counseling Services and its Address to provide context for the counseling session.
4. In the Semester/Year section, specify the relevant academic term for clarity.
5. Print and enter the Parent/Guardian’s name, followed by the Student/Client’s name and Clinical Counseling Graduate Student’s name in their respective fields.
6. Ensure that all parties involved sign where indicated: Clinical Counseling Graduate Student, Student/Client, and Parent/Guardian.
7. Finally, complete the Date, Parent/Guardian Name (Please Print), Address, and Telephone sections to finalize your consent.

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