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I have read and understand the information in this form. I have been encouraged to ask questions and all of my questions have been answered to my satisfaction. I have also been informed that I can withdraw from the study at any time. By signing this form, I voluntarily agree to participate in this study.
I acknowledge that I have read and understand ALL of the above information and I am fully aware of my rights and benefits and risks of counseling. I am also aware of limits to confidentiality. If I have any questions or concerns about any of this information, I agree to discuss these concerns with the counselor.
At a minimum, a counseling informed consent form should include: Limitations and guidelines regarding confidentiality. Purpose and description of the group. Suggested length of the group. Costs, copays, and any fees. Clients right to refuse services at any time. The role of the therapist as the group facilitator.
If you prefer to write your own consent document, you may do so, but be sure to include all required elements of informed consent.
Considerations in preparing the informed consent document: Elements of consent present. Complete explanations. Lay language. Protection of confidentiality. No unproven claims of effectiveness. Device studies include a statement that the study includes an evaluation of the safety of the test article.
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People also ask

A client consent form is an agreement or contract that clients sign to consent to some action performed by an individual or organization. Use this online Client Consent Form to collect and process client information.
A consent form is a legal document that records a patients agreement to a proposed treatment plan. Mental health providers require these documents before offering treatment to a patient. The goal is to ensure that the patient understands how they will be treated and any potential consequences.
I understand that my participation in this research project is voluntary, that my refusal to participate will involve no penalty or loss of benefits to which I am otherwise entitled, and that I may discontinue participation at any time without penalty or loss of benefits to which I am otherwise entitled.

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