GROUP COUNSELING CONSENT FORM - Eastern Illinois University - eiu 2025

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  1. Click ‘Get Form’ to open the GROUP COUNSELING CONSENT FORM in the editor.
  2. Begin by filling in the 'Practicum/Internship Instructor' field with the name of the instructor overseeing the counseling services.
  3. Next, enter the 'Site of Counseling Services' and its corresponding 'Site Address' to provide context for where the counseling will take place.
  4. In the 'Site Supervisor' section, input the name of the supervisor responsible for overseeing the counseling sessions.
  5. Fill in your name as a parent or guardian in the designated area, ensuring it is printed clearly for verification.
  6. Provide your child's name and the name of the School Counseling Graduate Student who will be conducting the sessions.
  7. Review and sign at the bottom of the form, including your printed name, address, and telephone number for contact purposes.

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